Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,090.30 / $7,762.47	Facility		$1,230.27	$3,090.30	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,230.27 / $1,479.11	Professional		$1,174.90	$1,230.27	$1,479.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,479.11 / $1,905.46	Facility		$1,318.26	$1,479.11	$1,905.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,258.93 / $2,454.71	Professional		$1,230.27	$1,258.93	$2,454.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $100.00 / $1,778.28	Facility		$83.18	$100.00	$1,778.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,318.26 / $2,041.74	Professional		$1,230.27	$1,318.26	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,348.96 / $1,659.59	Professional		$1,258.93	$1,348.96	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $630.96 / $831.76	Professional		$398.11	$630.96	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Facility		$6,606.93	$6,606.93	$6,606.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,258.93 / $1,318.26	Facility		$1,230.27	$1,258.93	$1,318.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,258.93 / $2,454.71	Professional		$1,230.27	$1,258.93	$2,454.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $128.82 / $1,288.25	Facility		$1.26	$128.82	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $3,162.28	Professional		$977.24	$1,288.25	$3,162.28