Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.22 / $354.77 / $10,048.50	Facility		$172.22	$354.77	$10,048.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $173.93 / $338.66	Professional		$172.22	$173.93	$338.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.58 / $275.08 / $616.65	Facility		$176.58	$275.08	$616.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.94 / $172.22 / $377.95	Professional		$171.94	$172.22	$377.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $199.13	Facility		$77.09	$100.00	$199.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $175.47 / $175.47 / $433.26	Professional		$175.47	$175.47	$433.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.47 / $162.47 / $172.22	Facility		$162.47	$162.47	$172.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $172.22 / $172.22	Professional		$172.22	$172.22	$172.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.00 / $206.66 / $390.28	Professional		$155.00	$206.66	$390.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $216.10 / $812.30 / $861.10	Facility		$216.10	$812.30	$861.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.47 / $172.22 / $244.28	Facility		$162.47	$172.22	$244.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $172.22 / $372.51	Professional		$172.22	$172.22	$372.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $230.07 / $230.07 / $230.07	Professional		$230.07	$230.07	$230.07
United Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $172.22 / $353.98	Professional		$172.22	$172.22	$353.98