Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.53 / $96.76 / $112.48	Facility		$47.53	$96.76	$112.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $48.86 / $5,256.83	Professional		$47.53	$48.86	$5,256.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.41 / $75.90 / $179.05	Facility		$50.41	$75.90	$179.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $48.38 / $113.61	Professional		$47.53	$48.38	$113.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $71.70 / $97.15 / $116.55	Facility		$71.70	$97.15	$116.55
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $48.42 / $48.42 / $120.08	Professional		$48.42	$48.42	$120.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.83 / $44.83 / $47.52	Facility		$44.83	$44.83	$47.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.52 / $47.52 / $47.52	Professional		$47.52	$47.52	$47.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.78 / $57.04 / $107.71	Professional		$42.78	$57.04	$107.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $99.07 / $237.65 / $240.30	Facility		$99.07	$237.65	$240.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.83 / $47.52 / $67.97	Facility		$44.83	$47.52	$67.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.52 / $47.53 / $102.81	Professional		$47.52	$47.53	$102.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $73.38 / $73.38 / $73.38	Professional		$73.38	$73.38	$73.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $52.28 / $80.79	Professional		$38.02	$52.28	$80.79
United Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $47.53 / $129.16	Professional		$47.53	$47.53	$129.16