Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.10 / $114.86 / $128.94	Facility		$56.10	$114.86	$128.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.66 / $98.66	Professional		$56.10	$56.66	$98.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.43 / $89.61 / $209.51	Facility		$57.43	$89.61	$209.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $57.43 / $135.44	Professional		$56.10	$57.43	$135.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $68.91 / $100.00	Facility		$58.90	$68.91	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $139.13	Professional		$56.10	$56.10	$139.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.93 / $52.93 / $56.10	Facility		$52.93	$52.93	$56.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $56.10	Professional		$56.10	$56.10	$56.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.49 / $67.31 / $127.13	Professional		$50.49	$67.31	$127.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $259.89 / $280.50	Facility		$75.00	$259.89	$280.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.93 / $56.10 / $79.44	Facility		$52.93	$56.10	$79.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $121.34	Professional		$56.10	$56.10	$121.34
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $84.49 / $84.49 / $84.49	Professional		$84.49	$84.49	$84.49
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $61.71 / $95.37	Professional		$44.88	$61.71	$95.37
United Facility/Professional Facility Modifier Low / Median / High Price $56.10 / $56.10 / $56.10	Facility		$56.10	$56.10	$56.10
United Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $115.62	Professional		$56.10	$56.10	$115.62