Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.62 / $427.52 / $9,880.34	Facility		$205.62	$427.52	$9,880.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $214.32 / $11,231.55	Professional		$203.58	$214.32	$11,231.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $215.98 / $325.18 / $728.94	Facility		$215.98	$325.18	$728.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $212.20 / $466.44	Professional		$203.58	$212.20	$466.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $100.00 / $263.24	Facility		$77.20	$100.00	$263.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $207.42 / $207.42 / $518.65	Professional		$207.42	$207.42	$518.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.06 / $192.06 / $203.58	Facility		$192.06	$192.06	$203.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $203.58 / $203.58	Professional		$203.58	$203.58	$203.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.22 / $244.30 / $461.35	Professional		$183.22	$244.30	$461.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $270.80 / $1,029.40 / $1,029.40	Facility		$270.80	$1,029.40	$1,029.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $192.06 / $203.58 / $288.83	Facility		$192.06	$203.58	$288.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $203.58 / $440.34	Professional		$203.58	$203.58	$440.34
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $366.46 / $366.46 / $366.46	Professional		$366.46	$366.46	$366.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $162.87 / $223.94 / $346.09	Professional		$162.87	$223.94	$346.09
United Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $215.79 / $448.30	Professional		$203.58	$215.79	$448.30