Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $1,154.09 / $1,341.64	Facility		$593.00	$1,154.09	$1,341.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $593.00 / $598.91 / $1,248.60	Professional		$593.00	$598.91	$1,248.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $604.86 / $947.20 / $2,123.30	Facility		$604.86	$947.20	$2,123.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $577.04 / $593.00 / $1,268.41	Professional		$577.04	$593.00	$1,268.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $779.00	Facility		$77.09	$100.00	$779.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $604.19 / $604.19 / $1,482.45	Professional		$604.19	$604.19	$1,482.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $559.44 / $559.44 / $593.00	Facility		$559.44	$559.44	$593.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.00 / $593.00 / $593.00	Professional		$593.00	$593.00	$593.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $533.70 / $711.60 / $1,304.59	Professional		$533.70	$711.60	$1,304.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $765.87 / $2,878.80 / $2,965.00	Facility		$765.87	$2,878.80	$2,965.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $559.44 / $593.00 / $841.69	Facility		$559.44	$593.00	$841.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $593.00 / $593.00 / $1,282.66	Professional		$593.00	$593.00	$1,282.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $848.29 / $848.29 / $848.29	Professional		$848.29	$848.29	$848.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $474.40 / $652.29 / $1,008.11	Professional		$474.40	$652.29	$1,008.11
United Facility/Professional Professional Modifier Low / Median / High Price $593.00 / $593.00 / $1,318.24	Professional		$593.00	$593.00	$1,318.24