Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.61 / $116.78 / $999.53	Facility		$53.61	$116.78	$999.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.61 / $182.00	Professional		$53.08	$53.61	$182.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.31 / $85.11 / $200.00	Facility		$56.31	$85.11	$200.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $66.34 / $136.32	Professional		$53.08	$66.34	$136.32
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $84.95 / $100.00 / $140.76	Facility		$84.95	$100.00	$140.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $88.83 / $103.05 / $236.25	Professional		$88.83	$103.05	$236.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.49 / $47.49 / $47.49	Facility		$47.49	$47.49	$47.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.49 / $47.49 / $47.49	Professional		$47.49	$47.49	$47.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.77 / $62.63 / $116.78	Professional		$47.77	$62.63	$116.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $522.91 / $522.91	Facility		$75.00	$522.91	$522.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.49 / $47.49 / $93.36	Facility		$47.49	$47.49	$93.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.49 / $53.08 / $114.81	Professional		$47.49	$53.08	$114.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $119.06 / $119.06 / $119.06	Professional		$119.06	$119.06	$119.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $42.46 / $58.38 / $90.24	Professional		$42.46	$58.38	$90.24
United Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $115.39	Professional		$53.08	$53.08	$115.39