Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.27 / $629.19 / $1,547.46	Facility		$282.27	$629.19	$1,547.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.67 / $282.27 / $484.96	Professional		$234.67	$282.27	$484.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $202.64 / $309.85 / $563.75	Facility		$202.64	$309.85	$563.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.66 / $289.08 / $564.57	Professional		$213.66	$289.08	$564.57
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $369.26	Facility		$77.09	$100.00	$369.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $155.88 / $155.88 / $389.78	Professional		$155.88	$155.88	$389.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $289.08 / $289.08 / $289.08	Facility		$289.08	$289.08	$289.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.08 / $289.08 / $289.08	Professional		$289.08	$289.08	$289.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.00 / $322.00 / $420.00	Professional		$159.00	$322.00	$420.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $323.10 / $921.80 / $921.80	Facility		$323.10	$921.80	$921.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $175.72 / $289.08 / $403.66	Facility		$175.72	$289.08	$403.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $289.08 / $289.08 / $310.30	Professional		$289.08	$289.08	$310.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $328.15 / $328.15 / $328.15	Professional		$328.15	$328.15	$328.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $315.31 / $409.90 / $536.03	Professional		$315.31	$409.90	$536.03
United Facility/Professional Professional Modifier Low / Median / High Price $283.42 / $283.42 / $582.54	Professional		$283.42	$283.42	$582.54