Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,041.74 / $3,388.44	Facility		$707.95	$2,041.74	$3,388.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $407.38 / $489.78	Professional		$331.13	$407.38	$489.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,174.90 / $2,137.96	Facility		$660.69	$1,174.90	$2,137.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $331.13 / $1,949.84	Professional		$199.53	$331.13	$1,949.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,148.15 / $1,412.54	Facility		$363.08	$1,148.15	$1,412.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $309.03 / $691.83	Professional		$53.70	$309.03	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $758.58 / $1,698.24	Facility		$338.84	$758.58	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $562.34 / $691.83	Professional		$363.08	$562.34	$691.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $501.19 / $870.96	Professional		$407.38	$501.19	$870.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $575.44 / $1,258.93	Facility		$338.84	$575.44	$1,258.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $501.19 / $501.19	Professional		$389.05	$501.19	$501.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $275.42 / $501.19	Facility		$229.09	$275.42	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $229.09 / $891.25	Professional		$213.80	$229.09	$891.25