Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $467.74 / $1,513.56	Facility		$363.08	$467.74	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $229.09 / $616.60	Professional		$223.87	$229.09	$616.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $269.15 / $691.83	Facility		$234.42	$269.15	$691.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $234.42 / $645.65	Professional		$223.87	$234.42	$645.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $223.87 / $501.19	Facility		$85.11	$223.87	$501.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $302.00 / $691.83	Professional		$229.09	$302.00	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $223.87	Facility		$213.80	$213.80	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $245.47 / $512.86	Professional		$204.17	$245.47	$512.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $338.84 / $562.34	Facility		$223.87	$338.84	$562.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $275.42	Professional		$223.87	$223.87	$275.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $245.47 / $380.19	Professional		$177.83	$245.47	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $758.58 / $758.58	Facility		$223.87	$758.58	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $512.86	Professional		$223.87	$223.87	$512.86