Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.52 / $146.78 / $209.10	Facility		$71.52	$146.78	$209.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $77.73 / $200.00	Professional		$71.52	$77.73	$200.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.05 / $79.39 / $102.99	Facility		$66.05	$79.39	$102.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $73.39 / $210.29	Professional		$71.52	$73.39	$210.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $76.20 / $96.90 / $136.80	Facility		$76.20	$96.90	$136.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $71.52 / $178.84	Professional		$71.52	$71.52	$178.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.47 / $67.47 / $71.52	Facility		$67.47	$67.47	$71.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $71.52 / $71.52	Professional		$71.52	$71.52	$71.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.37 / $85.82 / $164.50	Professional		$64.37	$85.82	$164.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $228.00 / $407.85 / $407.85	Facility		$228.00	$407.85	$407.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.47 / $71.52 / $102.27	Facility		$67.47	$71.52	$102.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $71.52 / $154.69	Professional		$71.52	$71.52	$154.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $142.06 / $142.06 / $142.06	Professional		$142.06	$142.06	$142.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $57.22 / $78.68 / $121.59	Professional		$57.22	$78.68	$121.59
United Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $71.52 / $184.02	Professional		$71.52	$71.52	$184.02