Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.60 / $91.07 / $3,019.24	Facility		$44.60	$91.07	$3,019.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.60 / $81.12 / $5,623.49	Professional		$44.60	$81.12	$5,623.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.82 / $71.23 / $168.05	Facility		$42.82	$71.23	$168.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.56 / $44.01 / $89.17	Professional		$40.56	$44.01	$89.17
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $48.14 / $50.07 / $88.36	Facility		$48.14	$50.07	$88.36
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $44.60 / $44.60 / $110.25	Professional		$44.60	$44.60	$110.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.07 / $42.07 / $44.60	Facility		$42.07	$42.07	$44.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.60 / $44.60 / $44.60	Professional		$44.60	$44.60	$44.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.14 / $53.52 / $101.07	Professional		$40.14	$53.52	$101.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $200.60 / $223.00	Facility		$75.00	$200.60	$223.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.07 / $44.60 / $63.37	Facility		$42.07	$44.60	$63.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.60 / $44.60 / $96.47	Professional		$44.60	$44.60	$96.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $67.09 / $67.09	Professional		$67.09	$67.09	$67.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $35.68 / $49.06 / $75.81	Professional		$35.68	$49.06	$75.81
United Facility/Professional Professional Modifier Low / Median / High Price $44.60 / $44.60 / $91.04	Professional		$44.60	$44.60	$91.04