Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.11 / $692.38 / $817.41	Facility		$346.11	$692.38	$817.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $349.57 / $807.07	Professional		$346.11	$349.57	$807.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.84 / $552.84 / $1,239.28	Facility		$354.84	$552.84	$1,239.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $346.19 / $881.48	Professional		$346.11	$346.19	$881.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $100.00 / $502.59	Facility		$77.20	$100.00	$502.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $352.64 / $352.64 / $874.55	Professional		$352.64	$352.64	$874.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.52 / $326.52 / $346.11	Facility		$326.52	$326.52	$346.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $346.11 / $346.11	Professional		$346.11	$346.11	$346.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $311.50 / $415.33 / $761.44	Professional		$311.50	$415.33	$761.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $452.26 / $1,699.95 / $1,730.55	Facility		$452.26	$1,699.95	$1,730.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $326.52 / $346.11 / $491.34	Facility		$326.52	$346.11	$491.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $346.11 / $748.64	Professional		$346.11	$346.11	$748.64
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $555.34 / $555.34 / $555.34	Professional		$555.34	$555.34	$555.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $276.88 / $380.72 / $588.38	Professional		$276.88	$380.72	$588.38
United Facility/Professional Facility Modifier Low / Median / High Price $346.11 / $346.11 / $346.11	Facility		$346.11	$346.11	$346.11
United Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $346.11 / $713.33	Professional		$346.11	$346.11	$713.33