Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.26 / $401.39 / $1,302.90	Facility		$190.26	$401.39	$1,302.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $236.91 / $554.89	Professional		$182.45	$236.91	$554.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.56 / $291.43 / $653.28	Facility		$193.56	$291.43	$653.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $195.79 / $430.37	Professional		$182.45	$195.79	$430.37
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $100.00 / $285.60	Facility		$77.20	$100.00	$285.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $185.89 / $185.89 / $461.01	Professional		$185.89	$185.89	$461.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.12 / $172.12 / $182.45	Facility		$172.12	$172.12	$182.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $182.45	Professional		$182.45	$182.45	$182.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $164.21 / $218.94 / $419.64	Professional		$164.21	$218.94	$419.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $253.74 / $1,058.95 / $1,058.95	Facility		$253.74	$1,058.95	$1,058.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $172.12 / $182.45 / $258.98	Facility		$172.12	$182.45	$258.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $394.64	Professional		$182.45	$182.45	$394.64
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $376.98 / $376.98 / $376.98	Professional		$376.98	$376.98	$376.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $145.96 / $200.69 / $310.16	Professional		$145.96	$200.69	$310.16
United Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $416.57	Professional		$182.45	$182.45	$416.57