Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,412.54	Facility		$776.25	$1,071.52	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $524.81 / $1,148.15	Professional		$512.86	$524.81	$1,148.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $616.60 / $1,348.96	Facility		$524.81	$616.60	$1,348.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $524.81 / $1,258.93	Professional		$512.86	$524.81	$1,258.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $501.19 / $977.24	Facility		$85.11	$501.19	$977.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $660.69 / $1,513.56	Professional		$512.86	$660.69	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $512.86	Facility		$489.78	$489.78	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $537.03 / $1,122.02	Professional		$467.74	$537.03	$1,122.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $776.25 / $1,288.25	Facility		$512.86	$776.25	$1,288.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $676.08	Professional		$512.86	$512.86	$676.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $562.34 / $870.96	Professional		$407.38	$562.34	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,348.96 / $1,348.96	Facility		$512.86	$1,348.96	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $1,122.02	Professional		$512.86	$512.86	$1,122.02