Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,587.51 / $6,423.00 / $17,133.00	Facility		$1,587.51	$6,423.00	$17,133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.77 / $431.73 / $680.47	Professional		$396.77	$431.73	$680.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $365.36 / $441.74 / $1,163.39	Facility		$365.36	$441.74	$1,163.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.94 / $517.77 / $1,759.94	Professional		$380.94	$517.77	$1,759.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,127.22	Facility		$66.00	$100.00	$8,127.22
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $133.74 / $191.05 / $411.31	Professional		$133.74	$191.05	$411.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.23 / $562.01 / $1,225.59	Professional		$434.23	$562.01	$1,225.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.01 / $821.35 / $1,551.12	Professional		$616.01	$821.35	$1,551.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,436.42 / $11,500.00 / $26,542.00	Facility		$1,436.42	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,504.08 / $3,591.68 / $4,197.89	Professional		$3,504.08	$3,591.68	$4,197.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $415.52 / $821.35 / $1,069.98	Facility		$415.52	$821.35	$1,069.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $431.04 / $563.67 / $1,155.55	Professional		$431.04	$563.67	$1,155.55
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $1,873.00 / $1,873.00 / $1,873.00	Facility		$1,873.00	$1,873.00	$1,873.00
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $6,323.00	Facility		$587.00	$1,551.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $303.89 / $415.86 / $1,491.36	Professional		$303.89	$415.86	$1,491.36