Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $97.72 / $3,019.95	Facility		$70.79	$97.72	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $1,737.80 / $7,079.46	Professional		$44.67	$1,737.80	$7,079.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $53.70 / $138.04	Facility		$46.77	$53.70	$138.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $46.77 / $95.50	Professional		$44.67	$46.77	$95.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $56.23 / $93.33	Facility		$50.12	$56.23	$93.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $58.88 / $128.82	Professional		$45.71	$58.88	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $45.71	Facility		$42.66	$42.66	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $50.12 / $102.33	Professional		$40.74	$50.12	$102.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $64.57 / $104.71	Facility		$41.69	$64.57	$104.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $52.48	Professional		$41.69	$41.69	$52.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $45.71 / $70.79	Professional		$33.11	$45.71	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $125.89 / $125.89	Facility		$45.71	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $97.72	Professional		$45.71	$45.71	$97.72