Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.36 / $760.36 / $933.96	Facility		$381.36	$760.36	$933.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $385.17 / $906.91	Professional		$381.36	$385.17	$906.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $396.53 / $609.15 / $1,436.93	Facility		$396.53	$609.15	$1,436.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.18 / $381.36 / $928.64	Professional		$380.18	$381.36	$928.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $100.00 / $560.97	Facility		$77.20	$100.00	$560.97
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $381.36 / $945.77	Professional		$381.36	$381.36	$945.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $359.77 / $359.77 / $381.36	Facility		$359.77	$359.77	$381.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $381.36 / $381.36	Professional		$381.36	$381.36	$381.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $343.22 / $457.63 / $877.13	Professional		$343.22	$457.63	$877.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $497.97 / $1,871.80 / $1,906.80	Facility		$497.97	$1,871.80	$1,906.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $359.77 / $381.36 / $541.39	Facility		$359.77	$381.36	$541.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $381.36 / $824.88	Professional		$381.36	$381.36	$824.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $616.14 / $616.14 / $616.14	Professional		$616.14	$616.14	$616.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $305.08 / $419.50 / $648.30	Professional		$305.08	$419.50	$648.30
United Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $381.36 / $820.01	Professional		$381.36	$381.36	$820.01