Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.85 / $769.70 / $1,981.98	Facility		$384.85	$769.70	$1,981.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $388.70 / $1,156.97	Professional		$384.85	$388.70	$1,156.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $614.72 / $1,377.99	Facility		$400.00	$614.72	$1,377.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $396.04 / $1,093.61	Professional		$384.85	$396.04	$1,093.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $100.00 / $583.54	Facility		$77.20	$100.00	$583.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $392.11 / $392.11 / $972.43	Professional		$392.11	$392.11	$972.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.06 / $363.06 / $384.85	Facility		$363.06	$363.06	$384.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $384.85 / $384.85	Professional		$384.85	$384.85	$384.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.37 / $461.82 / $872.15	Professional		$346.37	$461.82	$872.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $869.28 / $2,207.94 / $2,207.94	Facility		$869.28	$2,207.94	$2,207.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $363.06 / $384.85 / $546.42	Facility		$363.06	$384.85	$546.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $384.85 / $832.43	Professional		$384.85	$384.85	$832.43
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $786.03 / $786.03 / $786.03	Professional		$786.03	$786.03	$786.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $307.88 / $423.33 / $654.24	Professional		$307.88	$423.33	$654.24
United Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $407.94 / $827.27	Professional		$384.85	$407.94	$827.27