Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.45 / $252.48 / $355.46	Facility		$127.45	$252.48	$355.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $128.72 / $355.46	Professional		$127.45	$128.72	$355.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.66 / $203.58 / $456.35	Facility		$130.66	$203.58	$456.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.24 / $127.45 / $355.77	Professional		$126.24	$127.45	$355.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $100.00 / $215.54	Facility		$77.00	$100.00	$215.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $129.86 / $129.86 / $324.70	Professional		$129.86	$129.86	$324.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.24 / $120.24 / $127.45	Facility		$120.24	$120.24	$127.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $127.45	Professional		$127.45	$127.45	$127.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.71 / $152.94 / $280.39	Professional		$114.71	$152.94	$280.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $183.21 / $1,102.17 / $1,102.17	Facility		$183.21	$1,102.17	$1,102.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.24 / $127.45 / $182.25	Facility		$120.24	$127.45	$182.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $275.67	Professional		$127.45	$127.45	$275.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $241.49 / $241.49 / $241.49	Professional		$241.49	$241.49	$241.49
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $101.96 / $140.19 / $216.67	Professional		$101.96	$140.19	$216.67
United Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $327.93	Professional		$127.45	$127.45	$327.93