Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $229.09 / $7,943.28	Facility		$186.21	$229.09	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $109.65 / $5,011.87	Professional		$97.72	$109.65	$5,011.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $120.23 / $257.04	Facility		$102.33	$120.23	$257.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $407.38	Professional		$100.00	$120.23	$407.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $100.00 / $257.04	Facility		$83.18	$100.00	$257.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $141.25 / $457.09	Professional		$107.15	$141.25	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $100.00	Facility		$93.33	$93.33	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $109.65 / $263.03	Professional		$89.13	$109.65	$263.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $141.25 / $199.53	Facility		$83.18	$141.25	$199.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $87.10 / $134.90	Professional		$63.10	$87.10	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,047.13 / $1,047.13	Facility		$100.00	$1,047.13	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $104.71 / $269.15	Professional		$100.00	$104.71	$269.15