Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,116.32 / $4,232.64 / $5,914.72	Facility		$2,116.32	$4,232.64	$5,914.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,116.32 / $2,557.02 / $4,559.39	Professional		$2,116.32	$2,557.02	$4,559.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,169.86 / $3,380.40 / $7,577.70	Facility		$2,169.86	$3,380.40	$7,577.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,113.23 / $2,116.32 / $4,645.13	Professional		$2,113.23	$2,116.32	$4,645.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $100.00 / $2,426.55	Facility		$77.20	$100.00	$2,426.55
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,156.25 / $2,156.25 / $5,330.25	Professional		$2,156.25	$2,156.25	$5,330.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,996.53 / $1,996.53 / $2,116.32	Facility		$1,996.53	$1,996.53	$2,116.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,116.32 / $2,116.32 / $2,116.32	Professional		$2,116.32	$2,116.32	$2,116.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,904.69 / $2,539.58 / $4,655.89	Professional		$1,904.69	$2,539.58	$4,655.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,765.08 / $10,393.54 / $10,581.60	Facility		$2,765.08	$10,393.54	$10,581.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,996.53 / $2,116.32 / $3,004.49	Facility		$1,996.53	$2,116.32	$3,004.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,116.32 / $2,116.32 / $4,577.60	Professional		$2,116.32	$2,116.32	$4,577.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,097.60 / $3,097.60 / $3,097.60	Professional		$3,097.60	$3,097.60	$3,097.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,693.06 / $2,327.96 / $3,597.75	Professional		$1,693.06	$2,327.96	$3,597.75
United Facility/Professional Facility Modifier Low / Median / High Price $5,152.39 / $5,430.04 / $5,430.04	Facility		$5,152.39	$5,430.04	$5,430.04
United Facility/Professional Professional Modifier Low / Median / High Price $2,116.32 / $2,116.32 / $4,349.88	Professional		$2,116.32	$2,116.32	$4,349.88