Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $208.93	Facility		$186.21	$186.21	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $309.03	Professional		$177.83	$234.42	$309.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $331.13 / $831.76	Facility		$263.03	$331.13	$831.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $389.05 / $575.44	Professional		$263.03	$389.05	$575.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $501.19 / $660.69	Facility		$100.00	$501.19	$660.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $371.54 / $691.83	Professional		$288.40	$371.54	$691.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $275.42 / $457.09	Facility		$199.53	$275.42	$457.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $331.13	Professional		$257.04	$257.04	$331.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $309.03 / $831.76	Professional		$190.55	$309.03	$831.76