Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.14 / $963.14 / $1,081.22	Facility		$484.14	$963.14	$1,081.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.14 / $488.98 / $948.18	Professional		$484.14	$488.98	$948.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $493.82 / $773.32 / $1,733.51	Facility		$493.82	$773.32	$1,733.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $481.57 / $484.14 / $1,058.54	Professional		$481.57	$484.14	$1,058.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $100.00 / $550.20	Facility		$77.00	$100.00	$550.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $493.27 / $493.27 / $1,186.90	Professional		$493.27	$493.27	$1,186.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $456.73 / $456.73 / $484.14	Facility		$456.73	$456.73	$484.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.14 / $484.14 / $484.14	Professional		$484.14	$484.14	$484.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $435.73 / $580.97 / $1,065.10	Professional		$435.73	$580.97	$1,065.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $624.84 / $2,348.69 / $2,420.69	Facility		$624.84	$2,348.69	$2,420.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $456.73 / $484.14 / $687.41	Facility		$456.73	$484.14	$687.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $484.14 / $484.14 / $1,047.19	Professional		$484.14	$484.14	$1,047.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $644.16 / $644.16 / $644.16	Professional		$644.16	$644.16	$644.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $387.31 / $532.54 / $823.03	Professional		$387.31	$532.54	$823.03
United Facility/Professional Professional Modifier Low / Median / High Price $484.14 / $484.14 / $995.10	Professional		$484.14	$484.14	$995.10