Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $779.27 / $1,647.28 / $4,259.50	Facility		$779.27	$1,647.28	$4,259.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $771.56 / $1,806.00 / $3,688.08	Professional		$771.56	$1,806.00	$3,688.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $809.79 / $1,232.41 / $2,762.65	Facility		$809.79	$1,232.41	$2,762.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $771.56 / $790.04 / $2,226.64	Professional		$771.56	$790.04	$2,226.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $100.00 / $1,509.97	Facility		$77.20	$100.00	$1,509.97
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $771.56 / $771.56 / $1,929.29	Professional		$771.56	$771.56	$1,929.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $727.88 / $727.88 / $771.56	Facility		$727.88	$727.88	$771.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $771.56 / $771.56 / $771.56	Professional		$771.56	$771.56	$771.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $694.40 / $910.44 / $1,697.43	Professional		$694.40	$910.44	$1,697.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,110.00 / $4,641.20 / $4,641.20	Facility		$1,110.00	$4,641.20	$4,641.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $727.88 / $771.56 / $1,095.17	Facility		$727.88	$771.56	$1,095.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $771.56 / $771.56 / $1,668.88	Professional		$771.56	$771.56	$1,668.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,652.26 / $1,652.26 / $1,652.26	Professional		$1,652.26	$1,652.26	$1,652.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $617.25 / $848.71 / $1,311.65	Professional		$617.25	$848.71	$1,311.65
United Facility/Professional Professional Modifier Low / Median / High Price $771.56 / $771.56 / $2,064.57	Professional		$771.56	$771.56	$2,064.57