Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $558.46 / $1,117.11 / $1,422.45	Facility		$558.46	$1,117.11	$1,422.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $564.04 / $1,422.45	Professional		$558.46	$564.04	$1,422.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $582.58 / $892.03 / $2,104.21	Facility		$582.58	$892.03	$2,104.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $558.55 / $1,356.09	Professional		$558.46	$558.55	$1,356.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $100.00 / $790.28	Facility		$77.20	$100.00	$790.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $568.99 / $568.99 / $1,411.10	Professional		$568.99	$568.99	$1,411.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.85 / $526.85 / $558.46	Facility		$526.85	$526.85	$558.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $558.46 / $558.46	Professional		$558.46	$558.46	$558.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $502.61 / $670.15 / $1,284.46	Professional		$502.61	$670.15	$1,284.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $721.72 / $2,714.60 / $2,792.30	Facility		$721.72	$2,714.60	$2,792.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $526.85 / $558.46 / $798.60	Facility		$526.85	$558.46	$798.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $558.46 / $1,207.95	Professional		$558.46	$558.46	$1,207.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $966.39 / $966.39 / $966.39	Professional		$966.39	$966.39	$966.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $446.76 / $614.29 / $949.38	Professional		$446.76	$614.29	$949.38
United Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $558.46 / $1,194.35	Professional		$558.46	$558.46	$1,194.35