Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $870.96 / $1,148.15	Facility		$630.96	$870.96	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $436.52 / $977.24	Professional		$416.87	$436.52	$977.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $524.81 / $1,096.48	Facility		$446.68	$524.81	$1,096.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $436.52 / $912.01	Professional		$354.81	$436.52	$912.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $100.00 / $891.25	Facility		$83.18	$100.00	$891.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $549.54 / $1,258.93	Professional		$416.87	$549.54	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $416.87	Facility		$398.11	$398.11	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $436.52 / $912.01	Professional		$380.19	$436.52	$912.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $467.74 / $645.65	Facility		$257.04	$467.74	$645.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $316.23	Professional		$257.04	$257.04	$316.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $281.84 / $436.52	Professional		$204.17	$281.84	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,288.25 / $1,288.25	Facility		$416.87	$1,288.25	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $891.25	Professional		$416.87	$416.87	$891.25