Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.26 / $388.64 / $648.32	Facility		$196.26	$388.64	$648.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.93 / $294.69 / $333.84	Professional		$187.93	$294.69	$333.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $227.33 / $470.71 / $1,055.17	Facility		$227.33	$470.71	$1,055.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.71 / $201.65 / $427.14	Professional		$56.71	$201.65	$427.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $76.20 / $100.00 / $528.73	Facility		$76.20	$100.00	$528.73
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $300.25 / $300.25 / $570.48	Professional		$300.25	$300.25	$570.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.01 / $278.01 / $294.69	Facility		$278.01	$278.01	$294.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.69 / $294.69 / $294.69	Professional		$294.69	$294.69	$294.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $265.22 / $353.63 / $642.41	Professional		$265.22	$353.63	$642.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $2,184.28 / $2,184.28	Facility		$510.00	$2,184.28	$2,184.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $278.01 / $294.69 / $418.32	Facility		$278.01	$294.69	$418.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $294.69 / $294.69 / $637.41	Professional		$294.69	$294.69	$637.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $127.68 / $127.68 / $127.68	Professional		$127.68	$127.68	$127.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $235.75 / $324.16 / $500.97	Professional		$235.75	$324.16	$500.97
United Facility/Professional Professional Modifier Low / Median / High Price $294.69 / $294.69 / $601.52	Professional		$294.69	$294.69	$601.52