Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,232.55 / $3,059.10 / $3,341.25	Facility		$1,232.55	$3,059.10	$3,341.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,188.00 / $1,232.55 / $1,262.25	Professional		$1,188.00	$1,232.55	$1,262.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,332.43 / $2,182.48 / $4,898.72	Facility		$1,332.43	$2,182.48	$4,898.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,237.50 / $1,262.25 / $2,378.73	Professional		$1,237.50	$1,262.25	$2,378.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.50 / $88.70 / $100.00	Facility		$65.50	$88.70	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,232.55 / $1,232.55 / $1,762.67	Professional		$1,232.55	$1,232.55	$1,762.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,662.01 / $3,845.11 / $3,845.11	Facility		$3,662.01	$3,845.11	$3,845.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,262.25 / $1,336.50 / $1,670.63	Professional		$1,262.25	$1,336.50	$1,670.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $801.00	Professional		$393.93	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,485.00 / $6,558.75 / $6,558.75	Facility		$1,485.00	$6,558.75	$6,558.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,232.55 / $1,262.25 / $1,311.75	Facility		$1,232.55	$1,262.25	$1,311.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,218.07 / $1,262.25 / $1,262.25	Professional		$1,218.07	$1,262.25	$1,262.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,148.73 / $2,148.73 / $2,148.73	Professional		$2,148.73	$2,148.73	$2,148.73