Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,168.22 / $9,937.16 / $11,370.10	Facility		$5,168.22	$9,937.16	$11,370.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,018.27 / $5,219.91 / $10,407.00	Professional		$5,018.27	$5,219.91	$10,407.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,217.01 / $8,255.20 / $18,505.36	Facility		$5,217.01	$8,255.20	$18,505.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,545.37 / $5,156.07 / $10,921.50	Professional		$3,545.37	$5,156.07	$10,921.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $5,968.80	Facility		$77.09	$100.00	$5,968.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $5,265.74 / $5,265.74 / $13,016.91	Professional		$5,265.74	$5,265.74	$13,016.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,875.68 / $4,875.68 / $5,168.22	Facility		$4,875.68	$4,875.68	$5,168.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,168.22 / $5,168.22 / $5,168.22	Professional		$5,168.22	$5,168.22	$5,168.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,651.41 / $6,201.88 / $11,370.11	Professional		$4,651.41	$6,201.88	$11,370.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,609.15 / $24,842.90 / $25,841.15	Facility		$6,609.15	$24,842.90	$25,841.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,875.68 / $5,168.22 / $7,336.96	Facility		$4,875.68	$5,168.22	$7,336.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,168.22 / $5,168.22 / $11,178.88	Professional		$5,168.22	$5,168.22	$11,178.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,070.40 / $7,070.40 / $7,070.40	Professional		$7,070.40	$7,070.40	$7,070.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $4,134.58 / $5,685.05 / $8,785.99	Professional		$4,134.58	$5,685.05	$8,785.99
United Facility/Professional Professional Modifier Low / Median / High Price $5,168.22 / $5,168.22 / $10,549.39	Professional		$5,168.22	$5,168.22	$10,549.39