Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $432.02 / $873.02 / $1,014.89	Facility		$432.02	$873.02	$1,014.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $452.42 / $940.95	Professional		$432.02	$452.42	$940.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $447.42 / $690.07 / $1,546.89	Facility		$447.42	$690.07	$1,546.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $327.42 / $436.51 / $959.49	Professional		$327.42	$436.51	$959.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $76.20 / $100.00 / $587.96	Facility		$76.20	$100.00	$587.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $440.17 / $440.17 / $1,100.65	Professional		$440.17	$440.17	$1,100.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.57 / $407.57 / $432.02	Facility		$407.57	$407.57	$432.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $432.02 / $432.02	Professional		$432.02	$432.02	$432.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $388.82 / $518.41 / $950.44	Professional		$388.82	$518.41	$950.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $574.66 / $2,160.10 / $2,246.50	Facility		$574.66	$2,160.10	$2,246.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.57 / $432.02 / $613.48	Facility		$407.57	$432.02	$613.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $432.02 / $934.46	Professional		$432.02	$432.02	$934.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $639.26 / $639.26 / $639.26	Professional		$639.26	$639.26	$639.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $345.62 / $475.22 / $734.44	Professional		$345.62	$475.22	$734.44
United Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $432.02 / $887.97	Professional		$432.02	$432.02	$887.97