Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,730.32 / $3,474.20 / $8,975.17	Facility		$1,730.32	$3,474.20	$8,975.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,730.31 / $2,056.78 / $8,557.39	Professional		$1,730.31	$2,056.78	$8,557.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,811.80 / $2,763.84 / $6,519.67	Facility		$1,811.80	$2,763.84	$6,519.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,730.32 / $1,737.10 / $3,818.33	Professional		$1,730.32	$1,737.10	$3,818.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $100.00 / $2,161.33	Facility		$77.20	$100.00	$2,161.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,762.97 / $1,762.97 / $4,358.06	Professional		$1,762.97	$1,762.97	$4,358.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,632.38 / $1,632.38 / $1,730.32	Facility		$1,632.38	$1,632.38	$1,730.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,730.32 / $1,730.32 / $1,730.32	Professional		$1,730.32	$1,730.32	$1,730.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,557.29 / $2,076.38 / $3,979.74	Professional		$1,557.29	$2,076.38	$3,979.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,221.81 / $8,351.50 / $8,651.60	Facility		$2,221.81	$8,351.50	$8,651.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,632.38 / $1,730.32 / $2,456.21	Facility		$1,632.38	$1,730.32	$2,456.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,730.32 / $1,730.32 / $3,742.68	Professional		$1,730.32	$1,730.32	$3,742.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,398.65 / $2,398.65 / $2,398.65	Professional		$2,398.65	$2,398.65	$2,398.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,384.26 / $1,903.36 / $2,941.55	Professional		$1,384.26	$1,903.36	$2,941.55
United Facility/Professional Professional Modifier Low / Median / High Price $1,730.32 / $1,834.14 / $3,913.00	Professional		$1,730.32	$1,834.14	$3,913.00