Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $546.29 / $1,058.76 / $1,745.57	Facility		$546.29	$1,058.76	$1,745.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $568.36 / $1,234.14	Professional		$546.29	$568.36	$1,234.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $555.85 / $872.59 / $1,956.05	Facility		$555.85	$872.59	$1,956.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $529.38 / $546.29 / $1,491.98	Professional		$529.38	$546.29	$1,491.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $100.00 / $1,287.67	Facility		$77.20	$100.00	$1,287.67
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $556.60 / $556.60 / $1,391.78	Professional		$556.60	$556.60	$1,391.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $515.37 / $515.37 / $546.29	Facility		$515.37	$515.37	$546.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $546.29 / $546.29	Professional		$546.29	$546.29	$546.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $491.66 / $655.55 / $1,238.00	Professional		$491.66	$655.55	$1,238.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,037.23 / $3,331.25 / $3,331.25	Facility		$1,037.23	$3,331.25	$3,331.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $515.37 / $546.29 / $789.02	Facility		$515.37	$546.29	$789.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $546.29 / $1,181.63	Professional		$546.29	$546.29	$1,181.63
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,185.92 / $1,185.92 / $1,185.92	Professional		$1,185.92	$1,185.92	$1,185.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $437.04 / $600.91 / $928.70	Professional		$437.04	$600.91	$928.70
United Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $546.29 / $1,497.11	Professional		$546.29	$546.29	$1,497.11