Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.06 / $781.48 / $1,534.49	Facility		$392.06	$781.48	$1,534.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $395.98 / $853.12	Professional		$392.06	$395.98	$853.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $401.98 / $626.24 / $1,403.81	Facility		$401.98	$626.24	$1,403.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $390.74 / $392.06 / $858.91	Professional		$390.74	$392.06	$858.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $100.00 / $452.26	Facility		$77.20	$100.00	$452.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $399.46 / $399.46 / $987.47	Professional		$399.46	$399.46	$987.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.87 / $369.87 / $392.06	Facility		$369.87	$369.87	$392.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $392.06 / $392.06	Professional		$392.06	$392.06	$392.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $352.85 / $470.47 / $862.53	Professional		$352.85	$470.47	$862.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $509.32 / $1,914.45 / $1,960.30	Facility		$509.32	$1,914.45	$1,960.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $369.87 / $392.06 / $556.54	Facility		$369.87	$392.06	$556.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $392.06 / $848.03	Professional		$392.06	$392.06	$848.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $579.60 / $579.60 / $579.60	Professional		$579.60	$579.60	$579.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $313.64 / $431.27 / $666.51	Professional		$313.64	$431.27	$666.51
United Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $392.06 / $835.01	Professional		$392.06	$392.06	$835.01