Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,660.83 / $7,277.72 / $8,169.97	Facility		$3,660.83	$7,277.72	$8,169.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,660.82 / $3,697.44 / $31,896.49	Professional		$3,660.82	$3,697.44	$31,896.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,795.33 / $5,847.44 / $13,793.64	Facility		$3,795.33	$5,847.44	$13,793.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,453.39 / $3,660.83 / $7,998.63	Professional		$1,453.39	$3,660.83	$7,998.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $100.00 / $4,503.37	Facility		$77.20	$100.00	$4,503.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3,729.91 / $3,729.91 / $9,220.34	Professional		$3,729.91	$3,729.91	$9,220.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,453.62 / $3,453.62 / $3,660.83	Facility		$3,453.62	$3,453.62	$3,660.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,660.83 / $3,660.83 / $3,660.83	Professional		$3,660.83	$3,660.83	$3,660.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,294.75 / $4,393.00 / $8,053.83	Professional		$3,294.75	$4,393.00	$8,053.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,742.55 / $17,826.59 / $18,304.15	Facility		$4,742.55	$17,826.59	$18,304.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,453.62 / $3,660.83 / $5,197.13	Facility		$3,453.62	$3,660.83	$5,197.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,660.83 / $3,660.83 / $7,918.38	Professional		$3,660.83	$3,660.83	$7,918.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,985.91 / $4,985.91 / $4,985.91	Professional		$4,985.91	$4,985.91	$4,985.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,928.67 / $4,026.92 / $6,223.42	Professional		$2,928.67	$4,026.92	$6,223.42
United Facility/Professional Professional Modifier Low / Median / High Price $3,660.83 / $3,660.83 / $7,796.84	Professional		$3,660.83	$3,660.83	$7,796.84