Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.48 / $334.12 / $877.97	Facility		$170.48	$334.12	$877.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $172.18 / $1,124.66	Professional		$170.48	$172.18	$1,124.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.24 / $272.31 / $610.41	Facility		$174.24	$272.31	$610.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.06 / $170.48 / $478.73	Professional		$167.06	$170.48	$478.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $100.00 / $570.47	Facility		$77.20	$100.00	$570.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $173.69 / $173.69 / $493.85	Professional		$173.69	$173.69	$493.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.83 / $160.83 / $170.48	Facility		$160.83	$160.83	$170.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $170.48 / $170.48	Professional		$170.48	$170.48	$170.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.43 / $204.58 / $375.06	Professional		$153.43	$204.58	$375.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $484.90 / $2,181.77 / $2,444.25	Facility		$484.90	$2,181.77	$2,444.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $160.83 / $170.48 / $243.79	Facility		$160.83	$170.48	$243.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $170.48 / $368.75	Professional		$170.48	$170.48	$368.75
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $764.07 / $764.07 / $764.07	Professional		$764.07	$764.07	$764.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $136.38 / $187.52 / $289.81	Professional		$136.38	$187.52	$289.81
United Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $170.48 / $438.65	Professional		$170.48	$170.48	$438.65