Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $636.59 / $1,186.77 / $2,933.00	Facility		$636.59	$1,186.77	$2,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $663.64 / $2,640.00	Professional		$636.59	$663.64	$2,640.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $557.97 / $1,016.83 / $2,279.37	Facility		$557.97	$1,016.83	$2,279.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $528.58 / $636.59 / $1,874.34	Professional		$528.58	$636.59	$1,874.34
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $100.00 / $1,927.34	Facility		$77.20	$100.00	$1,927.34
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $636.59 / $1,591.79	Professional		$636.59	$636.59	$1,591.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $600.55 / $600.55 / $636.59	Facility		$600.55	$600.55	$636.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $636.59 / $636.59	Professional		$636.59	$636.59	$636.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $572.92 / $763.91 / $1,464.16	Professional		$572.92	$763.91	$1,464.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,554.00 / $3,472.90 / $3,472.90	Facility		$1,554.00	$3,472.90	$3,472.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $600.55 / $636.59 / $903.68	Facility		$600.55	$636.59	$903.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $636.59 / $1,376.94	Professional		$636.59	$636.59	$1,376.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,236.34 / $1,236.34 / $1,236.34	Professional		$1,236.34	$1,236.34	$1,236.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $509.27 / $700.25 / $1,082.20	Professional		$509.27	$700.25	$1,082.20
United Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $636.59 / $1,569.64	Professional		$636.59	$636.59	$1,569.64