Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.89 / $1,065.16 / $1,286.76	Facility		$529.89	$1,065.16	$1,286.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $551.29 / $9,522.36	Professional		$529.89	$551.29	$9,522.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $545.89 / $846.39 / $1,897.32	Facility		$545.89	$846.39	$1,897.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $532.58 / $1,501.03	Professional		$529.89	$532.58	$1,501.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.70 / $100.00 / $806.44	Facility		$77.70	$100.00	$806.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $539.89 / $539.89 / $1,349.99	Professional		$539.89	$539.89	$1,349.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.90 / $499.90 / $529.89	Facility		$499.90	$499.90	$529.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $529.89 / $529.89	Professional		$529.89	$529.89	$529.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $476.90 / $635.87 / $1,165.76	Professional		$476.90	$635.87	$1,165.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $697.78 / $2,622.85 / $2,649.45	Facility		$697.78	$2,622.85	$2,649.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $499.90 / $529.89 / $752.16	Facility		$499.90	$529.89	$752.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $529.89 / $1,146.15	Professional		$529.89	$529.89	$1,146.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $874.21 / $874.21 / $874.21	Professional		$874.21	$874.21	$874.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $423.91 / $582.88 / $905.39	Professional		$423.91	$582.88	$905.39
United Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $529.89 / $1,128.95	Professional		$529.89	$529.89	$1,128.95