Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.85 / $6,131.01 / $16,218.66	Facility		$279.85	$6,131.01	$16,218.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.85 / $279.85 / $715.37	Professional		$279.85	$279.85	$715.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $279.85 / $447.00 / $1,002.03	Facility		$279.85	$447.00	$1,002.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.66 / $326.76 / $628.38	Professional		$84.66	$326.76	$628.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $100.00 / $402.26	Facility		$77.20	$100.00	$402.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $285.13 / $285.13 / $712.97	Professional		$285.13	$285.13	$712.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.01 / $264.01 / $375.45	Facility		$264.01	$264.01	$375.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.45 / $375.45 / $375.45	Professional		$375.45	$375.45	$375.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.87 / $335.82 / $643.66	Professional		$251.87	$335.82	$643.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $372.25 / $1,399.25 / $1,449.55	Facility		$372.25	$1,399.25	$1,449.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $264.01 / $279.85 / $397.20	Facility		$264.01	$279.85	$397.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $279.85 / $375.45 / $375.45	Professional		$279.85	$375.45	$375.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $486.00 / $486.00 / $486.00	Professional		$486.00	$486.00	$486.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $223.88 / $307.83 / $475.75	Professional		$223.88	$307.83	$475.75
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $335.82 / $816.60	Professional		$316.23	$335.82	$816.60