Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,408.38 / $12,909.10 / $14,657.40	Facility		$6,408.38	$12,909.10	$14,657.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,472.46 / $14,657.40	Professional		$6,408.38	$6,472.46	$14,657.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,615.93 / $10,236.11 / $22,945.85	Facility		$6,615.93	$10,236.11	$22,945.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.19 / $6,454.57 / $14,187.86	Professional		$575.19	$6,454.57	$14,187.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $100.00 / $5,475.70	Facility		$77.20	$100.00	$5,475.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $6,529.29 / $6,529.29 / $16,192.64	Professional		$6,529.29	$6,529.29	$16,192.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,045.64 / $6,045.64 / $6,408.38	Facility		$6,045.64	$6,045.64	$6,408.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,408.38 / $6,408.38	Professional		$6,408.38	$6,408.38	$6,408.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,767.54 / $7,690.06 / $14,098.44	Professional		$5,767.54	$7,690.06	$14,098.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,524.35 / $32,041.90 / $32,300.15	Facility		$8,524.35	$32,041.90	$32,300.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $6,045.64 / $6,408.38 / $9,097.49	Facility		$6,045.64	$6,408.38	$9,097.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,408.38 / $13,861.33	Professional		$6,408.38	$6,408.38	$13,861.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $9,958.07 / $9,958.07 / $9,958.07	Professional		$9,958.07	$9,958.07	$9,958.07
United Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,408.38 / $13,080.79	Professional		$6,408.38	$6,408.38	$13,080.79