Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $10,000.00 / $15,488.17	Facility		$7,413.10	$10,000.00	$15,488.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $11,220.18	Professional		$4,786.30	$4,786.30	$11,220.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $5,623.41 / $12,589.25	Facility		$4,897.79	$5,623.41	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,897.79 / $10,000.00	Professional		$4,677.35	$4,897.79	$10,000.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $3,235.94 / $8,317.64	Facility		$85.11	$3,235.94	$8,317.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $6,165.95 / $14,454.40	Professional		$4,786.30	$6,165.95	$14,454.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,786.30	Facility		$4,466.84	$4,466.84	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Professional		$4,786.30	$4,786.30	$4,786.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,011.87 / $10,471.29	Professional		$4,265.80	$5,011.87	$10,471.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $23,442.29 / $23,442.29 / $23,442.29	Facility		$23,442.29	$23,442.29	$23,442.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Professional		$4,677.35	$4,677.35	$4,677.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $7,244.36 / $12,022.64	Facility		$4,786.30	$7,244.36	$12,022.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $5,888.44	Professional		$4,786.30	$4,786.30	$5,888.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $7,079.46	Professional		$7,079.46	$7,079.46	$7,079.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $5,248.07 / $8,128.31	Professional		$3,890.45	$5,248.07	$8,128.31
United Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $12,882.50 / $12,882.50	Facility		$4,786.30	$12,882.50	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $10,715.19	Professional		$4,786.30	$4,786.30	$10,715.19