Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.61 / $182.00 / $1,560.96	Facility		$53.61	$182.00	$1,560.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.07 / $53.61 / $182.00	Professional		$53.07	$53.61	$182.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.77 / $61.10 / $76.44	Facility		$42.77	$61.10	$76.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $66.34 / $139.12	Professional		$53.08	$66.34	$139.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $100.00 / $154.44	Facility		$92.60	$100.00	$154.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $75.84 / $93.33 / $202.67	Professional		$75.84	$93.33	$202.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.90 / $45.90 / $45.90	Facility		$45.90	$45.90	$45.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.32 / $45.90 / $46.38	Professional		$43.32	$45.90	$46.38
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 / $282.33 / $282.33	Facility		$75.00	$282.33	$282.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.90 / $45.90 / $82.78	Facility		$45.90	$45.90	$82.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.32 / $46.38 / $114.81	Professional		$43.32	$46.38	$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 / $109.43	Professional		$53.08	$53.08	$109.43