Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $400.50 / $426.31 / $2,306.98	Facility	26	$400.50	$426.31	$2,306.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,340.52 / $1,686.72 / $4,344.22	Professional		$1,340.52	$1,686.72	$4,344.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,956.37 / $2,899.90 / $5,275.96	Professional		$1,956.37	$2,899.90	$5,275.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,053.68 / $1,590.60 / $3,553.34	Professional		$1,053.68	$1,590.60	$3,553.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,501.74 / $1,894.42 / $4,858.29	Professional		$1,501.74	$1,894.42	$4,858.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,340.53 / $1,698.37 / $3,193.50	Professional		$1,340.53	$1,698.37	$3,193.50
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $380.46 / $529.90 / $972.28	Professional	26	$380.46	$529.90	$972.28
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $2,974.88 / $3,621.28 / $3,718.96	Facility	26	$2,974.88	$3,621.28	$3,718.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,066.29 / $9,066.29 / $11,086.50	Professional		$9,066.29	$9,066.29	$11,086.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,491.75 / $1,894.42 / $4,480.66	Professional		$1,491.75	$1,894.42	$4,480.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,806.68 / $4,806.68 / $4,806.68	Professional		$4,806.68	$4,806.68	$4,806.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,285.58 / $1,799.82 / $2,445.75	Professional		$1,285.58	$1,799.82	$2,445.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,189.00 / $1,668.39 / $3,773.46	Professional		$1,189.00	$1,668.39	$3,773.46