Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.38 / $182.22 / $849.59	Facility		$86.38	$182.22	$849.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.25 / $750.39 / $1,575.82	Professional		$87.25	$750.39	$1,575.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.64 / $137.97 / $309.29	Facility		$91.64	$137.97	$309.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $91.11 / $655.45	Professional		$86.38	$91.11	$655.45
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $100.00 / $607.15	Facility		$77.20	$100.00	$607.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $86.38 / $245.60	Professional		$86.38	$86.38	$245.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.48 / $81.48 / $86.38	Facility		$81.48	$81.48	$86.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $86.38 / $86.38	Professional		$86.38	$86.38	$86.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.73 / $103.66 / $195.75	Professional		$77.73	$103.66	$195.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $468.00 / $1,621.35 / $1,621.35	Facility		$468.00	$1,621.35	$1,621.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.48 / $86.38 / $123.52	Facility		$81.48	$86.38	$123.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $86.38 / $186.84	Professional		$86.38	$86.38	$186.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $577.20 / $577.20 / $577.20	Professional		$577.20	$577.20	$577.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $69.11 / $95.02 / $146.85	Professional		$69.11	$95.02	$146.85
United Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $86.38 / $236.72	Professional		$86.38	$86.38	$236.72