Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.39 / $154.54 / $184.68	Facility		$77.39	$154.54	$184.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $78.16 / $180.14	Professional		$77.39	$78.16	$180.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.34 / $123.62 / $277.10	Facility		$79.34	$123.62	$277.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.27 / $77.39 / $169.83	Professional		$77.27	$77.39	$169.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $71.70 / $79.48 / $100.00	Facility		$71.70	$79.48	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $78.84 / $78.84 / $195.55	Professional		$78.84	$78.84	$195.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.01 / $73.01 / $77.39	Facility		$73.01	$73.01	$77.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $77.39 / $77.39	Professional		$77.39	$77.39	$77.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.65 / $92.87 / $175.38	Professional		$69.65	$92.87	$175.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $102.82 / $375.85 / $375.85	Facility		$102.82	$375.85	$375.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.01 / $77.39 / $109.75	Facility		$73.01	$77.39	$109.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $77.39 / $167.39	Professional		$77.39	$77.39	$167.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $125.47 / $125.47 / $125.47	Professional		$125.47	$125.47	$125.47
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $61.91 / $85.13 / $131.56	Professional		$61.91	$85.13	$131.56
United Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $77.39 / $164.83	Professional		$77.39	$77.39	$164.83