Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.80 / $163.40 / $408.74	Facility		$78.80	$163.40	$408.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $87.53 / $5,512.65	Professional		$78.80	$87.53	$5,512.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.60 / $125.87 / $296.91	Facility		$83.60	$125.87	$296.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $81.70 / $179.60	Professional		$78.80	$81.70	$179.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $62.60 / $97.40 / $136.57	Facility		$62.60	$97.40	$136.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $80.28 / $80.28 / $199.09	Professional		$80.28	$80.28	$199.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.33 / $74.33 / $78.79	Facility		$74.33	$74.33	$78.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.79 / $78.79 / $78.79	Professional		$78.79	$78.79	$78.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.92 / $94.56 / $181.24	Professional		$70.92	$94.56	$181.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $116.08 / $394.00 / $405.05	Facility		$116.08	$394.00	$405.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.33 / $78.79 / $112.04	Facility		$74.33	$78.79	$112.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.79 / $78.80 / $170.44	Professional		$78.79	$78.80	$170.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $121.57 / $121.57 / $121.57	Professional		$121.57	$121.57	$121.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $63.04 / $86.67 / $133.94	Professional		$63.04	$86.67	$133.94
United Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $78.80 / $175.17	Professional		$78.80	$78.80	$175.17