Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $934.95 / $5,178.00 / $16,573.00	Facility		$934.95	$5,178.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $115.84 / $728.87	Professional		$106.33	$115.84	$728.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,738.00 / $10,498.00 / $21,336.00	Facility		$3,738.00	$10,498.00	$21,336.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.24 / $219.19 / $425.94	Professional		$170.24	$219.19	$425.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $5,122.07	Facility		$65.90	$100.00	$5,122.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $128.33 / $316.41	Professional		$100.00	$128.33	$316.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.35 / $148.19 / $295.14	Professional		$114.35	$148.19	$295.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $4,989.20	Facility		$55.00	$55.00	$4,989.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.65 / $153.60 / $238.16	Facility		$111.65	$153.60	$238.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $122.78 / $124.39 / $129.97	Professional		$122.78	$124.39	$129.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $401.64 / $401.64 / $401.64	Professional		$401.64	$401.64	$401.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $98.29 / $129.37 / $167.09	Professional		$98.29	$129.37	$167.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,348.00 / $4,243.00 / $9,072.00	Facility		$2,348.00	$4,243.00	$9,072.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.73 / $158.97 / $490.40	Professional		$97.73	$158.97	$490.40