Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.98 / $83.39 / $103.26	Facility		$77.98	$83.39	$103.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.22 / $449.29 / $811.33	Professional		$77.22	$449.29	$811.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.21 / $425.00 / $793.87	Professional		$182.21	$425.00	$793.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $1,359.79 / $5,303.73	Facility		$92.60	$1,359.79	$5,303.73
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $76.50 / $92.88 / $213.68	Professional		$76.50	$92.88	$213.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $803.63 / $803.63 / $803.63	Facility		$803.63	$803.63	$803.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.72 / $630.72 / $630.72	Professional		$630.72	$630.72	$630.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.77 / $124.08 / $231.58	Professional		$68.77	$124.08	$231.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,051.33 / $4,060.36 / $4,208.41	Facility		$1,051.33	$4,060.36	$4,208.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,977.89 / $4,977.89 / $4,977.89	Professional		$4,977.89	$4,977.89	$4,977.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $430.76	Professional		$60.00	$85.00	$430.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.52 / $164.40 / $653.89	Facility		$82.52	$164.40	$653.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.60 / $630.72 / $630.72	Professional		$257.60	$630.72	$630.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $402.13 / $402.13 / $690.65	Professional		$402.13	$402.13	$690.65
United Facility/Professional Professional Modifier Low / Median / High Price $58.79 / $192.32 / $681.95	Professional		$58.79	$192.32	$681.95