Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $77.62 / $15,848.93	Facility		$54.95	$77.62	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $38.02 / $6,918.31	Professional		$34.67	$38.02	$6,918.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $40.74 / $93.33	Facility		$35.48	$40.74	$93.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $35.48 / $112.20	Professional		$33.88	$35.48	$112.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $48.98 / $91.20	Facility		$41.69	$48.98	$91.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $46.77 / $144.54	Professional		$36.31	$46.77	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $35.48	Facility		$33.11	$33.11	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $38.90 / $81.28	Professional		$31.62	$38.90	$81.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $58.88 / $89.13	Facility		$35.48	$58.88	$89.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $75.86	Professional		$35.48	$35.48	$75.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.90 / $60.26	Professional		$28.84	$38.90	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $223.87 / $223.87	Facility		$35.48	$223.87	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $95.50	Professional		$35.48	$35.48	$95.50