Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $15,848.93	Facility		$1,174.90	$1,380.38	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,951.21 / $10,232.93	Professional		$1,348.96	$2,951.21	$10,232.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $234.42 / $1,071.52	Facility		$186.21	$234.42	$1,071.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,467.37 / $11,748.98	Professional		$1,862.09	$3,467.37	$11,748.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $676.08 / $7,413.10	Facility		$100.00	$676.08	$7,413.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $8,709.64 / $13,803.84	Professional		$4,073.80	$8,709.64	$13,803.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,715.35 / $7,244.36	Professional		$3,162.28	$3,715.35	$7,244.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $17,378.01 / $17,378.01	Facility		$5,754.40	$17,378.01	$17,378.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $3,715.35	Professional		$575.44	$575.44	$3,715.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,290.87 / $3,801.89	Facility		$1,412.54	$2,290.87	$3,801.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,698.24 / $3,715.35	Professional		$1,445.44	$1,698.24	$3,715.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Professional		$6,918.31	$6,918.31	$6,918.31
United Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,467.37 / $10,471.29	Professional		$2,089.30	$3,467.37	$10,471.29