Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.96 / $1,039.04 / $1,166.43	Facility		$508.96	$1,039.04	$1,166.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $514.04 / $1,163.54	Professional		$508.96	$514.04	$1,163.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $532.51 / $812.96 / $1,822.38	Facility		$532.51	$812.96	$1,822.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $519.52 / $1,141.96	Professional		$508.96	$519.52	$1,141.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $100.00 / $636.17	Facility		$77.20	$100.00	$636.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $518.57 / $518.57 / $1,281.91	Professional		$518.57	$518.57	$1,281.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $480.15 / $480.15 / $508.96	Facility		$480.15	$480.15	$508.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $508.96 / $508.96	Professional		$508.96	$508.96	$508.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $458.06 / $610.75 / $1,119.71	Professional		$458.06	$610.75	$1,119.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $662.04 / $2,488.50 / $2,544.80	Facility		$662.04	$2,488.50	$2,544.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $480.15 / $508.96 / $722.30	Facility		$480.15	$508.96	$722.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $508.96 / $1,100.88	Professional		$508.96	$508.96	$1,100.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $790.49 / $790.49 / $790.49	Professional		$790.49	$790.49	$790.49
United Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $508.96 / $1,225.32	Professional		$508.96	$508.96	$1,225.32