Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,181.79 / $1,181.79 / $10,562.30	Facility		$1,181.79	$1,181.79	$10,562.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,181.79 / $1,374.18 / $10,562.30	Professional		$1,181.79	$1,374.18	$10,562.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.89 / $3,139.14 / $11,620.51	Facility		$186.89	$3,139.14	$11,620.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,868.89 / $3,140.83 / $7,048.06	Professional		$1,868.89	$3,140.83	$7,048.06
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $544.50 / $5,825.64	Facility		$97.00	$544.50	$5,825.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $6,184.46 / $11,314.24	Professional		$100.00	$6,184.46	$11,314.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,700.00 / $1,700.00 / $1,700.00	Professional		$1,700.00	$1,700.00	$1,700.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,111.69 / $3,660.81 / $8,419.86	Professional		$3,111.69	$3,660.81	$8,419.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $7,431.44 / $17,388.84	Facility		$100.00	$7,431.44	$17,388.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,374.18 / $2,161.59 / $3,792.74	Facility		$1,374.18	$2,161.59	$3,792.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,454.09 / $3,660.81 / $3,660.81	Professional		$1,454.09	$3,660.81	$3,660.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,909.65 / $6,909.65 / $6,909.65	Professional		$6,909.65	$6,909.65	$6,909.65
United Facility/Professional Professional Modifier Low / Median / High Price $2,145.01 / $3,519.33 / $8,341.81	Professional		$2,145.01	$3,519.33	$8,341.81