Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $81.28 / $11,481.54	Facility		$53.70	$81.28	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $331.13 / $15,848.93	Professional		$30.20	$331.13	$15,848.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $35.48 / $91.20	Facility		$30.90	$35.48	$91.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $39.81 / $112.20	Professional		$29.51	$39.81	$112.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $87.10 / $131.83	Facility		$72.44	$87.10	$131.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $42.66 / $125.89	Professional		$32.36	$42.66	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $30.20	Facility		$24.55	$24.55	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.11 / $81.28	Professional		$26.92	$33.11	$81.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $45.71 / $77.62	Facility		$31.62	$45.71	$77.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $34.67 / $53.70	Professional		$25.12	$34.67	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $295.12 / $295.12	Facility		$30.20	$295.12	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $42.66 / $104.71	Professional		$30.20	$42.66	$104.71