Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.72 / $2,433.21 / $2,742.96	Facility		$983.72	$2,433.21	$2,742.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $817.79 / $983.72 / $2,742.96	Professional		$817.79	$983.72	$2,742.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,050.74 / $1,758.84 / $3,944.73	Facility		$1,050.74	$1,758.84	$3,944.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,007.42 / $1,087.84 / $2,407.73	Professional		$1,007.42	$1,087.84	$2,407.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $75.90 / $97.90 / $1,185.20	Facility		$75.90	$97.90	$1,185.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,066.68 / $1,066.68 / $2,645.37	Professional		$1,066.68	$1,066.68	$2,645.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,046.93 / $1,046.93 / $1,046.93	Facility		$1,046.93	$1,046.93	$1,046.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,046.93 / $1,046.93 / $1,046.93	Professional		$1,046.93	$1,046.93	$1,046.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $1,540.00 / $2,219.00	Professional		$393.93	$1,540.00	$2,219.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,690.00 / $5,234.64 / $5,234.64	Facility		$1,690.00	$5,234.64	$5,234.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,046.93 / $1,046.93 / $1,406.72	Facility		$1,046.93	$1,046.93	$1,406.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,046.93 / $1,046.93 / $1,936.49	Professional		$1,046.93	$1,046.93	$1,936.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,863.53 / $1,863.53 / $1,863.53	Professional		$1,863.53	$1,863.53	$1,863.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,046.93 / $1,361.01 / $1,779.78	Professional		$1,046.93	$1,361.01	$1,779.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,185.20 / $1,185.20 / $2,416.86	Professional		$1,185.20	$1,185.20	$2,416.86