Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.71 / $110.96 / $164.56	Facility		$54.71	$110.96	$164.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $55.31 / $164.56	Professional		$54.71	$55.31	$164.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.87 / $87.39 / $195.89	Facility		$56.87	$87.39	$195.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $55.48 / $156.37	Professional		$54.71	$55.48	$156.37
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.45 / $65.31 / $104.05	Facility		$58.45	$65.31	$104.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $55.74 / $55.74 / $139.38	Professional		$55.74	$55.74	$139.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.61 / $51.61 / $54.71	Facility		$51.61	$51.61	$54.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $54.71	Professional		$54.71	$54.71	$54.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.24 / $65.65 / $139.51	Professional		$49.24	$65.65	$139.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $314.05 / $314.05	Facility		$75.00	$314.05	$314.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.61 / $54.71 / $78.23	Facility		$51.61	$54.71	$78.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $118.34	Professional		$54.71	$54.71	$118.34
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $111.79 / $111.79 / $111.79	Professional		$111.79	$111.79	$111.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $43.77 / $60.18 / $93.00	Professional		$43.77	$60.18	$93.00
United Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $116.52	Professional		$54.71	$54.71	$116.52