Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $359.19 / $718.18 / $827.61	Facility		$359.19	$718.18	$827.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.18 / $362.78 / $827.61	Professional		$359.18	$362.78	$827.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $368.07 / $573.73 / $1,286.11	Facility		$368.07	$573.73	$1,286.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $359.09 / $359.19 / $1,012.04	Professional		$359.09	$359.19	$1,012.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $100.00 / $420.27	Facility		$77.00	$100.00	$420.27
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $365.97 / $365.97 / $904.68	Professional		$365.97	$365.97	$904.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.86 / $338.86 / $359.19	Facility		$338.86	$338.86	$359.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.19 / $359.19 / $359.19	Professional		$359.19	$359.19	$359.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.27 / $431.03 / $790.22	Professional		$323.27	$431.03	$790.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $468.97 / $1,762.80 / $1,795.95	Facility		$468.97	$1,762.80	$1,795.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.86 / $359.19 / $509.70	Facility		$338.86	$359.19	$509.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $359.19 / $359.19 / $776.93	Professional		$359.19	$359.19	$776.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $562.26 / $562.26 / $562.26	Professional		$562.26	$562.26	$562.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $287.35 / $395.11 / $610.63	Professional		$287.35	$395.11	$610.63
United Facility/Professional Professional Modifier Low / Median / High Price $359.19 / $359.19 / $785.42	Professional		$359.19	$359.19	$785.42