Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19,498.45 / $34,673.69 / $123,026.88	Facility		$19,498.45	$34,673.69	$123,026.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12,302.69 / $17,782.79 / $107,151.93	Professional		$12,302.69	$17,782.79	$107,151.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $15,135.61 / $66,069.34	Facility		$12,022.64	$15,135.61	$66,069.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20,417.38 / $22,387.21 / $34,673.69	Professional		$20,417.38	$22,387.21	$34,673.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $52,480.75 / $66,069.34	Facility		$16,982.44	$52,480.75	$66,069.34
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $27,542.29 / $52,480.75 / $91,201.08	Professional		$27,542.29	$52,480.75	$91,201.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $16,595.87 / $16,595.87	Facility		$16,595.87	$16,595.87	$16,595.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12,022.64 / $12,022.64 / $16,595.87	Professional		$12,022.64	$12,022.64	$16,595.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16,595.87 / $25,703.96 / $45,708.82	Professional		$16,595.87	$25,703.96	$45,708.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $134,896.29 / $134,896.29 / $134,896.29	Facility		$134,896.29	$134,896.29	$134,896.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $144,543.98 / $208,929.61 / $208,929.61	Professional		$144,543.98	$208,929.61	$208,929.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $28,840.32 / $28,840.32 / $28,840.32	Professional		$28,840.32	$28,840.32	$28,840.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $28,840.32 / $37,153.52	Facility		$9,120.11	$28,840.32	$37,153.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $12,022.64 / $12,022.64 / $27,542.29	Professional		$12,022.64	$12,022.64	$27,542.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $53,703.18 / $53,703.18 / $53,703.18	Professional		$53,703.18	$53,703.18	$53,703.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $22,908.68 / $22,908.68 / $25,703.96	Professional		$22,908.68	$22,908.68	$25,703.96
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $16,982.44 / $34,673.69	Facility		$371.54	$16,982.44	$34,673.69
United Facility/Professional Professional Modifier Low / Median / High Price $12,022.64 / $15,488.17 / $28,183.83	Professional		$12,022.64	$15,488.17	$28,183.83