Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.30 / $752.77 / $828.44	Facility		$303.30	$752.77	$828.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.14 / $303.30 / $828.44	Professional		$252.14	$303.30	$828.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $266.58 / $360.18 / $736.84	Facility		$266.58	$360.18	$736.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.50 / $310.61 / $606.60	Professional		$260.50	$310.61	$606.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $401.96	Facility		$77.09	$100.00	$401.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $522.42	Professional		$208.93	$208.93	$522.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.61 / $310.61 / $310.61	Facility		$310.61	$310.61	$310.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.61 / $310.61 / $310.61	Professional		$310.61	$310.61	$310.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $372.88 / $1,581.00 / $1,581.00	Facility		$372.88	$1,581.00	$1,581.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.81 / $310.61 / $433.72	Facility		$257.81	$310.61	$433.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $281.77 / $310.61 / $609.49	Professional		$281.77	$310.61	$609.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $562.83 / $562.83 / $562.83	Professional		$562.83	$562.83	$562.83
United Facility/Professional Professional Modifier Low / Median / High Price $298.30 / $298.30 / $767.53	Professional		$298.30	$298.30	$767.53