Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.52 / $755.04 / $5,960.40	Facility		$377.52	$755.04	$5,960.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.51 / $381.30 / $788.46	Professional		$377.51	$381.30	$788.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $387.07 / $603.01 / $1,351.75	Facility		$387.07	$603.01	$1,351.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $376.48 / $377.52 / $827.55	Professional		$376.48	$377.52	$827.55
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $100.00 / $439.84	Facility		$77.20	$100.00	$439.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $384.64 / $384.64 / $950.83	Professional		$384.64	$384.64	$950.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $356.15 / $356.15 / $377.52	Facility		$356.15	$356.15	$377.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.52 / $377.52 / $377.52	Professional		$377.52	$377.52	$377.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $339.77 / $453.02 / $830.54	Professional		$339.77	$453.02	$830.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $492.78 / $1,852.30 / $1,887.60	Facility		$492.78	$1,852.30	$1,887.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $356.15 / $377.52 / $535.87	Facility		$356.15	$377.52	$535.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $377.52 / $377.52 / $816.58	Professional		$377.52	$377.52	$816.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $535.66 / $535.66 / $535.66	Professional		$535.66	$535.66	$535.66
United Facility/Professional Professional Modifier Low / Median / High Price $377.52 / $400.17 / $781.32	Professional		$377.52	$400.17	$781.32