Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.70 / $177.94 / $190.04	Facility		$71.70	$177.94	$190.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.60 / $71.70 / $188.49	Professional		$59.60	$71.70	$188.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.37 / $91.64 / $199.15	Facility		$69.37	$91.64	$199.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $88.10 / $143.38	Professional		$71.98	$88.10	$143.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $78.30 / $112.75	Facility		$64.40	$78.30	$112.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $56.67 / $56.67 / $141.69	Professional		$56.67	$56.67	$141.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.42 / $73.42 / $73.42	Facility		$73.42	$73.42	$73.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $73.42 / $73.42	Professional		$73.42	$73.42	$73.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $85.00 / $393.93	Professional		$53.00	$85.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $82.06 / $273.35 / $294.50	Facility		$82.06	$273.35	$294.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.70 / $73.42 / $102.53	Facility		$71.70	$73.42	$102.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.81 / $73.42 / $131.53	Professional		$60.81	$73.42	$131.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $123.31 / $123.31 / $123.31	Professional		$123.31	$123.31	$123.31
United Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $58.90 / $58.90	Facility		$58.90	$58.90	$58.90
United Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $71.98 / $185.20	Professional		$71.98	$71.98	$185.20