Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.50 / $7,275.00 / $17,054.00	Facility		$1,737.50	$7,275.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $516.41 / $743.75	Professional		$49.00	$516.41	$743.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,699.00 / $7,334.00 / $15,399.00	Facility		$3,699.00	$7,334.00	$15,399.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $214.24 / $799.87	Professional		$180.00	$214.24	$799.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,263.42	Facility		$66.00	$100.00	$8,263.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $169.93 / $242.76 / $531.54	Professional		$169.93	$242.76	$531.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.00 / $488.85 / $590.45	Professional		$207.00	$488.85	$590.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,619.00 / $2,531.00 / $5,579.00	Professional		$1,619.00	$2,531.00	$5,579.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,365.79 / $3,365.79 / $3,476.86	Professional		$3,365.79	$3,365.79	$3,476.86
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 $51.95 / $656.25 / $924.00	Facility		$51.95	$656.25	$924.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $207.00 / $207.00 / $590.45	Professional		$207.00	$207.00	$590.45
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $5,156.00 / $5,156.00 / $5,156.00	Facility		$5,156.00	$5,156.00	$5,156.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,679.00 / $9,810.00 / $21,278.00	Facility		$5,679.00	$9,810.00	$21,278.00