Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $316.23 / $1,148.15	Facility		$125.89	$316.23	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $114.82 / $436.52	Professional		$93.33	$114.82	$436.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $114.82 / $245.47	Facility		$97.72	$114.82	$245.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $97.72 / $208.93	Professional		$93.33	$97.72	$208.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $91.20 / $181.97	Facility		$81.28	$91.20	$181.97
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $120.23 / $281.84	Professional		$93.33	$120.23	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $93.33	Facility		$89.13	$89.13	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $102.33 / $213.80	Professional		$85.11	$102.33	$213.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $144.54 / $239.88	Facility		$93.33	$144.54	$239.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $117.49	Professional		$95.50	$95.50	$117.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $104.71 / $162.18	Professional		$75.86	$104.71	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $295.12 / $295.12	Facility		$93.33	$295.12	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $204.17	Professional		$93.33	$93.33	$204.17