Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.76 / $1,011.02 / $1,134.97	Facility		$508.76	$1,011.02	$1,134.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.76 / $513.85 / $1,063.08	Professional		$508.76	$513.85	$1,063.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $521.63 / $812.64 / $1,821.67	Facility		$521.63	$812.64	$1,821.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $505.51 / $508.76 / $1,111.15	Professional		$505.51	$508.76	$1,111.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $100.00 / $665.24	Facility		$77.20	$100.00	$665.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $518.36 / $518.36 / $1,281.39	Professional		$518.36	$518.36	$1,281.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $479.96 / $479.96 / $508.76	Facility		$479.96	$479.96	$508.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.76 / $508.76 / $508.76	Professional		$508.76	$508.76	$508.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.88 / $610.51 / $1,119.27	Professional		$457.88	$610.51	$1,119.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $644.98 / $2,423.75 / $2,423.75	Facility		$644.98	$2,423.75	$2,423.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $479.96 / $508.76 / $727.53	Facility		$479.96	$508.76	$727.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $508.76 / $508.76 / $1,100.45	Professional		$508.76	$508.76	$1,100.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $722.24 / $722.24 / $722.24	Professional		$722.24	$722.24	$722.24
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $407.01 / $559.63 / $864.89	Professional		$407.01	$559.63	$864.89
United Facility/Professional Professional Modifier Low / Median / High Price $508.76 / $508.76 / $1,048.55	Professional		$508.76	$508.76	$1,048.55