Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.61 / $112.48 / $139.44	Facility		$52.61	$112.48	$139.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.73 / $52.61 / $89.59	Professional		$43.73	$52.61	$89.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.38 / $53.87 / $84.24	Facility		$29.38	$53.87	$84.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $53.87 / $105.21	Professional		$33.88	$53.87	$105.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $53.08 / $53.88 / $79.23	Facility		$53.08	$53.88	$79.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $23.03 / $23.03 / $65.48	Professional		$23.03	$23.03	$65.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.87 / $53.87 / $53.87	Facility		$53.87	$53.87	$53.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.87 / $53.87 / $53.87	Professional		$53.87	$53.87	$53.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $58.00 / $393.93	Professional		$36.00	$58.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $170.50 / $237.71	Facility		$75.00	$170.50	$237.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.60 / $53.87 / $75.23	Facility		$22.60	$53.87	$75.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.42 / $53.87 / $53.87	Professional		$7.42	$53.87	$53.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $60.38 / $60.38 / $60.38	Professional		$60.38	$60.38	$60.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $52.04 / $67.65 / $88.47	Professional		$52.04	$67.65	$88.47
United Facility/Professional Professional Modifier Low / Median / High Price $52.82 / $52.82 / $108.57	Professional		$52.82	$52.82	$108.57