Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.40 / $191.63 / $614.92	Facility		$83.40	$191.63	$614.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.58 / $134.46 / $285.00	Professional		$82.58	$134.46	$285.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.18 / $90.58 / $118.92	Facility		$74.18	$90.58	$118.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.42 / $82.58 / $232.30	Professional		$82.42	$82.58	$232.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $74.50 / $87.30 / $127.23	Facility		$74.50	$87.30	$127.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $84.13 / $84.13 / $208.64	Professional		$84.13	$84.13	$208.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.90 / $77.90 / $82.57	Facility		$77.90	$77.90	$82.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.57 / $82.57 / $82.57	Professional		$82.57	$82.57	$82.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.31 / $99.10 / $187.14	Professional		$74.31	$99.10	$187.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $102.63 / $368.04 / $368.04	Facility		$102.63	$368.04	$368.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.90 / $82.57 / $118.09	Facility		$77.90	$82.57	$118.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.57 / $82.58 / $178.62	Professional		$82.57	$82.58	$178.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $132.25 / $132.25 / $132.25	Professional		$132.25	$132.25	$132.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $90.83 / $140.38	Professional		$66.06	$90.83	$140.38
United Facility/Professional Professional Modifier Low / Median / High Price $82.58 / $82.58 / $203.62	Professional		$82.58	$82.58	$203.62