Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $464.14 / $1,148.06 / $1,230.26	Facility		$464.14	$1,148.06	$1,230.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.85 / $464.14 / $1,200.06	Professional		$385.85	$464.14	$1,200.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $495.77 / $829.87 / $1,861.23	Facility		$495.77	$829.87	$1,861.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $466.01 / $475.33 / $928.29	Professional		$466.01	$475.33	$928.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $559.21	Facility		$77.09	$100.00	$559.21
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $503.29 / $503.29 / $1,258.48	Professional		$503.29	$503.29	$1,258.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $475.33 / $475.33 / $475.33	Facility		$475.33	$475.33	$475.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.33 / $475.33 / $475.33	Professional		$475.33	$475.33	$475.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $709.00 / $1,022.00	Professional		$393.93	$709.00	$1,022.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $566.91 / $2,290.19 / $2,290.19	Facility		$566.91	$2,290.19	$2,290.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $261.39 / $475.33 / $663.72	Facility		$261.39	$475.33	$663.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.80 / $475.33 / $475.33	Professional		$124.80	$475.33	$475.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $815.31 / $815.31 / $815.31	Professional		$815.31	$815.31	$815.31
United Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $4.26 / $4.26	Facility		$4.26	$4.26	$4.26
United Facility/Professional Professional Modifier Low / Median / High Price $466.01 / $466.01 / $1,019.72	Professional		$466.01	$466.01	$1,019.72