Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.62 / $461.62 / $869.32	Facility		$461.62	$461.62	$869.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.62 / $461.62 / $869.32	Professional		$461.62	$461.62	$869.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $480.13 / $766.26 / $1,717.69	Facility		$480.13	$766.26	$1,717.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.48 / $461.62 / $900.15	Professional		$83.48	$461.62	$900.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $543.08	Facility		$77.09	$100.00	$543.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $488.77 / $488.77 / $1,110.45	Professional		$488.77	$488.77	$1,110.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.88 / $506.88 / $506.88	Facility		$506.88	$506.88	$506.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $506.88 / $506.88 / $506.88	Professional		$506.88	$506.88	$506.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $609.00 / $1,692.00	Professional		$393.93	$609.00	$1,692.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $619.11 / $1,918.88 / $2,036.55	Facility		$619.11	$1,918.88	$2,036.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $260.45 / $506.88 / $660.12	Facility		$260.45	$506.88	$660.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $166.52 / $506.88 / $506.88	Professional		$166.52	$506.88	$506.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $590.60 / $590.60 / $590.60	Professional		$590.60	$590.60	$590.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $452.57 / $588.34 / $769.37	Professional		$452.57	$588.34	$769.37
United Facility/Professional Professional Modifier Low / Median / High Price $461.62 / $543.08 / $930.21	Professional		$461.62	$543.08	$930.21