Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.55 / $1,024.05 / $3,325.85	Facility		$377.55	$1,024.05	$3,325.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.69 / $377.55 / $499.80	Professional		$251.69	$377.55	$499.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $654.41 / $1,007.45 / $2,098.52	Facility		$654.41	$1,007.45	$2,098.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.59 / $307.57 / $875.91	Professional		$88.59	$307.57	$875.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $363.96 / $1,419.59	Facility		$92.60	$363.96	$1,419.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $52.19 / $327.20 / $373.02	Professional		$52.19	$327.20	$373.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $342.19 / $708.74 / $1,622.96	Facility		$342.19	$708.74	$1,622.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.00 / $557.25 / $696.56	Professional		$525.00	$557.25	$696.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $402.72 / $503.40 / $880.95	Professional		$402.72	$503.40	$880.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $979.90 / $2,391.15 / $2,391.15	Facility		$979.90	$2,391.15	$2,391.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $342.19 / $503.40 / $1,180.98	Facility		$342.19	$503.40	$1,180.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $387.62 / $503.40 / $513.47	Professional		$387.62	$503.40	$513.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $503.40 / $503.40 / $503.40	Professional		$503.40	$503.40	$503.40
United Facility/Professional Professional Modifier Low / Median / High Price $211.43 / $211.43 / $996.73	Professional		$211.43	$211.43	$996.73