Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.68 / $1,104.30 / $1,895.24	Facility		$313.68	$1,104.30	$1,895.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.68 / $377.56 / $794.49	Professional		$313.68	$377.56	$794.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $333.63 / $526.98 / $1,123.16	Facility		$333.63	$526.98	$1,123.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.44 / $521.53 / $838.33	Professional		$168.44	$521.53	$838.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $100.00 / $496.69	Facility		$77.20	$100.00	$496.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $319.60 / $319.60 / $799.16	Professional		$319.60	$319.60	$799.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.92 / $295.92 / $486.76	Facility		$295.92	$295.92	$486.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $486.76 / $486.76 / $486.76	Professional		$486.76	$486.76	$486.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $282.31 / $373.00 / $690.10	Professional		$282.31	$373.00	$690.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $422.56 / $1,568.40 / $1,588.35	Facility		$422.56	$1,568.40	$1,588.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $295.92 / $313.68 / $486.76	Facility		$295.92	$313.68	$486.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $313.68 / $486.76 / $486.76	Professional		$313.68	$486.76	$486.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $539.76 / $539.76 / $539.76	Professional		$539.76	$539.76	$539.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $250.94 / $345.05 / $533.25	Professional		$250.94	$345.05	$533.25
United Facility/Professional Facility Modifier Low / Median / High Price $421.24 / $865.02 / $865.02	Facility		$421.24	$865.02	$865.02
United Facility/Professional Professional Modifier Low / Median / High Price $374.98 / $409.07 / $757.80	Professional		$374.98	$409.07	$757.80