Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.84 / $983.80 / $1,143.67	Facility		$474.84	$983.80	$1,143.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $474.84 / $479.58 / $846.08	Professional		$474.84	$479.58	$846.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $503.76 / $758.46 / $1,789.15	Facility		$503.76	$758.46	$1,789.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $474.84 / $491.90 / $1,081.26	Professional		$474.84	$491.90	$1,081.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $100.00 / $1,096.50	Facility		$77.20	$100.00	$1,096.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $483.80 / $483.80 / $1,195.95	Professional		$483.80	$483.80	$1,195.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $447.96 / $447.96 / $474.84	Facility		$447.96	$447.96	$474.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.84 / $474.84 / $474.84	Professional		$474.84	$474.84	$474.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $427.36 / $569.80 / $1,076.08	Professional		$427.36	$569.80	$1,076.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $975.89 / $2,358.15 / $2,374.19	Facility		$975.89	$2,358.15	$2,374.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $447.96 / $474.84 / $674.09	Facility		$447.96	$474.84	$674.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $474.84 / $474.84 / $1,027.08	Professional		$474.84	$474.84	$1,027.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $686.38 / $686.38 / $686.38	Professional		$686.38	$686.38	$686.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $379.87 / $522.32 / $807.22	Professional		$379.87	$522.32	$807.22
United Facility/Professional Professional Modifier Low / Median / High Price $474.84 / $503.33 / $1,221.76	Professional		$474.84	$503.33	$1,221.76