Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,232.93 / $13,489.63	Facility		$6,025.60	$10,232.93	$13,489.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $4,897.79 / $6,456.54	Professional		$2,511.89	$4,897.79	$6,456.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $5,623.41 / $12,882.50	Facility		$1,096.48	$5,623.41	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $3,981.07	Professional		$1,047.13	$1,230.27	$3,981.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $891.25 / $3,311.31	Facility		$85.11	$891.25	$3,311.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $5,754.40 / $10,964.78	Professional		$3,801.89	$5,754.40	$10,964.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,897.79	Facility		$4,677.35	$4,677.35	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $5,128.61 / $9,549.93	Professional		$4,466.84	$5,128.61	$9,549.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $6,309.57	Facility		$6,309.57	$6,309.57	$6,309.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,019.95 / $7,079.46	Facility		$1,348.96	$3,019.95	$7,079.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,348.96 / $1,778.28	Professional		$1,047.13	$1,348.96	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,897.79	Facility		$4,265.80	$4,265.80	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $10,000.00	Professional		$4,897.79	$4,897.79	$10,000.00