Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.73 / $109.68 / $139.77	Facility		$52.73	$109.68	$139.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.84 / $52.73 / $105.80	Professional		$43.84	$52.73	$105.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.16 / $89.64 / $207.44	Facility		$56.16	$89.64	$207.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.94 / $54.00 / $105.46	Professional		$52.94	$54.00	$105.46
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $53.37 / $57.60 / $91.49	Facility		$53.37	$57.60	$91.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $57.17 / $57.17 / $141.32	Professional		$57.17	$57.17	$141.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $54.00 / $54.00	Facility		$54.00	$54.00	$54.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $54.00	Professional		$54.00	$54.00	$54.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $100.00 / $393.93	Professional		$62.00	$100.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $278.80 / $278.80	Facility		$75.00	$278.80	$278.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $54.00 / $75.40	Facility		$54.00	$54.00	$75.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $54.00 / $87.17	Professional		$40.29	$54.00	$87.17
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $71.88 / $71.88 / $71.88	Professional		$71.88	$71.88	$71.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $52.94 / $68.81 / $90.00	Professional		$52.94	$68.81	$90.00
United Facility/Professional Professional Modifier Low / Median / High Price $52.94 / $52.94 / $108.81	Professional		$52.94	$52.94	$108.81