Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,358.93 / $1,371.43 / $1,387.00	Facility		$1,358.93	$1,371.43	$1,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,353.39 / $1,404.69 / $1,714.81	Professional		$1,353.39	$1,404.69	$1,714.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.73 / $55.62 / $55.62	Facility		$51.73	$55.62	$55.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.40 / $65.14 / $1,342.67	Professional		$48.40	$65.14	$1,342.67
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,196.84 / $1,709.79 / $2,992.13	Professional		$1,196.84	$1,709.79	$2,992.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,996.77 / $2,095.62 / $2,510.79	Professional		$1,996.77	$2,095.62	$2,510.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,299.47 / $1,583.61 / $2,632.27	Professional		$1,299.47	$1,583.61	$2,632.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $100.00 / $100.00	Facility		$65.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $85.00	Professional		$50.00	$85.00	$85.00
Optum Facility/Professional Professional Modifier Low / Median / High Price $1,342.67 / $1,342.67 / $1,342.67	Professional		$1,342.67	$1,342.67	$1,342.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,358.93 / $1,601.19 / $2,161.39	Facility		$1,358.93	$1,601.19	$2,161.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $2,250,000.00 / $2,400,000.00	Professional		$1,800,000.00	$2,250,000.00	$2,400,000.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,342.67 / $1,342.67 / $1,342.67	Professional		$1,342.67	$1,342.67	$1,342.67
United Facility/Professional Professional Modifier Low / Median / High Price $1,342.67 / $1,342.67 / $1,342.67	Professional		$1,342.67	$1,342.67	$1,342.67