Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,798.00 / $5,823.00 / $17,241.59	Facility		$1,798.00	$5,823.00	$17,241.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.20 / $1,645.00 / $6,845.81	Professional		$277.20	$1,645.00	$6,845.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $5,863.00 / $12,953.00	Facility		$2,097.00	$5,863.00	$12,953.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $190.00 / $190.00	Professional		$190.00	$190.00	$190.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.80 / $100.00 / $6,532.28	Facility		$69.80	$100.00	$6,532.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $351.29 / $708.00 / $2,151.00	Facility		$351.29	$708.00	$2,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.97 / $205.97 / $205.97	Professional		$205.97	$205.97	$205.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $638.07 / $2,782.00	Professional		$145.00	$638.07	$2,782.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,922.50	Facility		$55.00	$55.00	$2,922.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $630.00	Professional		$60.00	$85.00	$630.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $611.00 / $708.00 / $2,151.00	Facility		$611.00	$708.00	$2,151.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $205.97 / $205.97 / $205.97	Professional		$205.97	$205.97	$205.97
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $2,803.00 / $2,803.00 / $2,803.00	Facility		$2,803.00	$2,803.00	$2,803.00
United Facility/Professional Facility Modifier Low / Median / High Price $379.00 / $1,458.00 / $5,830.00	Facility		$379.00	$1,458.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00