Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $229.09 / $380.19	Facility		$177.83	$229.09	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $229.09 / $676.08	Professional		$112.20	$229.09	$676.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $138.04 / $295.12	Facility		$120.23	$138.04	$295.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $120.23 / $524.81	Professional		$114.82	$120.23	$524.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $144.54 / $549.54	Facility		$85.11	$144.54	$549.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $144.54 / $398.11	Professional		$112.20	$144.54	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $112.20	Facility		$104.71	$104.71	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $288.40	Professional		$100.00	$123.03	$288.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $177.83 / $275.42	Facility		$112.20	$177.83	$275.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $234.42	Professional		$109.65	$109.65	$234.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $120.23 / $186.21	Professional		$87.10	$120.23	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $457.09 / $457.09	Facility		$112.20	$457.09	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $295.12	Professional		$112.20	$112.20	$295.12