Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $498.14 / $995.60 / $1,286.08	Facility		$498.14	$995.60	$1,286.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $498.14 / $518.26 / $1,160.52	Professional		$498.14	$518.26	$1,160.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $510.25 / $795.66 / $1,783.60	Facility		$510.25	$795.66	$1,783.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $497.80 / $498.14 / $1,250.06	Professional		$497.80	$498.14	$1,250.06
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $100.00 / $756.06	Facility		$77.20	$100.00	$756.06
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $507.53 / $507.53 / $1,264.73	Professional		$507.53	$507.53	$1,264.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.94 / $469.94 / $498.14	Facility		$469.94	$469.94	$498.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $498.14 / $498.14 / $498.14	Professional		$498.14	$498.14	$498.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $448.33 / $597.77 / $1,117.00	Professional		$448.33	$597.77	$1,117.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $652.82 / $2,454.35 / $2,490.69	Facility		$652.82	$2,454.35	$2,490.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $469.94 / $498.14 / $707.16	Facility		$469.94	$498.14	$707.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $498.14 / $498.14 / $1,077.48	Professional		$498.14	$498.14	$1,077.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $873.75 / $873.75 / $873.75	Professional		$873.75	$873.75	$873.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $398.51 / $547.58 / $846.26	Professional		$398.51	$547.58	$846.26
United Facility/Professional Professional Modifier Low / Median / High Price $498.14 / $498.14 / $1,026.67	Professional		$498.14	$498.14	$1,026.67