Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $579.97 / $1,159.98 / $1,302.19	Facility		$579.97	$1,159.98	$1,302.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $579.97 / $585.76 / $1,296.08	Professional		$579.97	$585.76	$1,296.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $604.92 / $926.37 / $2,185.23	Facility		$604.92	$926.37	$2,185.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $579.97 / $579.99 / $1,274.88	Professional		$579.97	$579.99	$1,274.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $100.00 / $684.79	Facility		$77.20	$100.00	$684.79
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $590.91 / $590.91 / $1,460.73	Professional		$590.91	$590.91	$1,460.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $547.14 / $547.14 / $579.97	Facility		$547.14	$547.14	$579.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $579.97 / $579.97 / $579.97	Professional		$579.97	$579.97	$579.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $521.97 / $695.96 / $1,275.93	Professional		$521.97	$695.96	$1,275.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $751.08 / $2,823.20 / $2,899.85	Facility		$751.08	$2,823.20	$2,899.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $547.14 / $579.97 / $823.33	Facility		$547.14	$579.97	$823.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $579.97 / $579.97 / $1,254.48	Professional		$579.97	$579.97	$1,254.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $880.54 / $880.54 / $880.54	Professional		$880.54	$880.54	$880.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $463.97 / $637.96 / $985.94	Professional		$463.97	$637.96	$985.94
United Facility/Professional Professional Modifier Low / Median / High Price $579.97 / $579.97 / $1,235.22	Professional		$579.97	$579.97	$1,235.22