Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.96 / $106.15 / $9,981.95	Facility		$48.96	$106.15	$9,981.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $49.45 / $4,219.00	Professional		$48.96	$49.45	$4,219.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.20 / $78.20 / $184.48	Facility		$50.20	$78.20	$184.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.03 / $48.96 / $116.97	Professional		$48.03	$48.96	$116.97
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.70 / $76.40 / $100.00	Facility		$65.70	$76.40	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $49.89 / $49.89 / $124.75	Professional		$49.89	$49.89	$124.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.19 / $46.19 / $48.96	Facility		$46.19	$46.19	$48.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $48.96 / $48.96	Professional		$48.96	$48.96	$48.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.06 / $58.75 / $110.95	Professional		$44.06	$58.75	$110.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $241.75 / $244.80	Facility		$75.00	$241.75	$244.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.19 / $48.96 / $70.01	Facility		$46.19	$48.96	$70.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $48.96 / $105.90	Professional		$48.96	$48.96	$105.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $75.09 / $75.09 / $75.09	Professional		$75.09	$75.09	$75.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $39.17 / $53.86 / $83.24	Professional		$39.17	$53.86	$83.24
United Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $48.96 / $115.91	Professional		$48.96	$48.96	$115.91