Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.77 / $101.95 / $12,493.82	Facility		$45.77	$101.95	$12,493.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $50.34 / $5,784.60	Professional		$45.31	$50.34	$5,784.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.07 / $72.37 / $170.72	Facility		$48.07	$72.37	$170.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $47.80 / $118.05	Professional		$45.31	$47.80	$118.05
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.13 / $89.05 / $104.76	Facility		$64.13	$89.05	$104.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $46.17 / $46.17 / $114.61	Professional		$46.17	$46.17	$114.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.75 / $42.75 / $45.31	Facility		$42.75	$42.75	$45.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $45.31 / $45.31	Professional		$45.31	$45.31	$45.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.78 / $54.37 / $102.68	Professional		$40.78	$54.37	$102.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.05 / $225.65 / $226.55	Facility		$89.05	$225.65	$226.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.75 / $45.31 / $64.79	Facility		$42.75	$45.31	$64.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $45.31 / $98.01	Professional		$45.31	$45.31	$98.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $76.89 / $76.89 / $76.89	Professional		$76.89	$76.89	$76.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $36.25 / $49.85 / $77.03	Professional		$36.25	$49.85	$77.03
United Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $45.31 / $121.69	Professional		$45.31	$45.31	$121.69