Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.37 / $108.09 / $126.07	Facility		$50.37	$108.09	$126.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $50.87 / $126.07	Professional		$50.37	$50.87	$126.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.44 / $80.44 / $180.32	Facility		$53.44	$80.44	$180.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $56.09 / $140.44	Professional		$50.37	$56.09	$140.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $56.80 / $64.18 / $100.00	Facility		$56.80	$64.18	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $51.32 / $51.32 / $128.33	Professional		$51.32	$51.32	$128.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.51 / $47.51 / $50.37	Facility		$47.51	$47.51	$50.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $50.37 / $50.37	Professional		$50.37	$50.37	$50.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.33 / $60.44 / $115.85	Professional		$45.33	$60.44	$115.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $264.98 / $299.39	Facility		$75.00	$264.98	$299.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.51 / $50.37 / $71.63	Facility		$47.51	$50.37	$71.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $50.37 / $108.95	Professional		$50.37	$50.37	$108.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $85.65 / $85.65 / $85.65	Professional		$85.65	$85.65	$85.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $55.40 / $85.62	Professional		$40.29	$55.40	$85.62
United Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $53.39 / $129.60	Professional		$50.37	$53.39	$129.60