Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,461.57 / $1,461.57 / $2,434.92	Facility		$1,461.57	$1,461.57	$2,434.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,408.74 / $1,461.57 / $2,434.92	Professional		$1,408.74	$1,461.57	$2,434.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $444.99 / $570.76 / $2,113.11	Facility		$444.99	$570.76	$2,113.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $402.02 / $700.28 / $1,467.44	Professional		$402.02	$700.28	$1,467.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $456.11 / $780.16 / $1,730.37	Professional		$456.11	$780.16	$1,730.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $482.77 / $482.77 / $670.42	Facility		$482.77	$482.77	$670.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.35 / $410.35 / $1,002.38	Professional		$410.35	$410.35	$1,002.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $506.35 / $590.74 / $1,282.76	Professional		$506.35	$590.74	$1,282.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,452.61 / $4,027.33 / $4,027.33	Facility		$1,452.61	$4,027.33	$4,027.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,361.83 / $4,361.83 / $6,329.40	Professional		$4,361.83	$4,361.83	$6,329.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,781.92 / $1,781.92 / $1,781.92	Professional		$1,781.92	$1,781.92	$1,781.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $632.94 / $843.92 / $1,496.79	Facility		$632.94	$843.92	$1,496.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $410.35 / $410.35 / $827.46	Professional		$410.35	$410.35	$827.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,592.88 / $1,592.88 / $1,592.88	Professional		$1,592.88	$1,592.88	$1,592.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $523.17 / $675.14 / $759.53	Professional		$523.17	$675.14	$759.53
United Facility/Professional Professional Modifier Low / Median / High Price $366.79 / $433.65 / $851.45	Professional		$366.79	$433.65	$851.45