Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.83 / $323.92 / $397.85	Facility		$165.83	$323.92	$397.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.57 / $167.49 / $293.27	Professional		$163.57	$167.49	$293.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.15 / $264.88 / $593.77	Facility		$169.15	$264.88	$593.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.96 / $165.83 / $356.00	Professional		$161.96	$165.83	$356.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.60 / $97.90 / $190.96	Facility		$60.60	$97.90	$190.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $168.96 / $168.96 / $399.03	Professional		$168.96	$168.96	$399.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.44 / $156.44 / $165.83	Facility		$156.44	$156.44	$165.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $165.83	Professional		$165.83	$165.83	$165.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $149.25 / $199.00 / $375.80	Professional		$149.25	$199.00	$375.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $217.31 / $816.85 / $829.15	Facility		$217.31	$816.85	$829.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $156.44 / $165.83 / $235.56	Facility		$156.44	$165.83	$235.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $358.69	Professional		$165.83	$165.83	$358.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $199.24 / $199.24 / $199.24	Professional		$199.24	$199.24	$199.24
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $132.66 / $182.41 / $281.91	Professional		$132.66	$182.41	$281.91
United Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $353.18	Professional		$165.83	$165.83	$353.18