Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,016.42 / $3,953.10 / $6,049.88	Facility		$2,016.42	$3,953.10	$6,049.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,793.85 / $2,036.58 / $6,049.88	Professional		$1,793.85	$2,036.58	$6,049.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,061.54 / $3,220.83 / $7,219.99	Facility		$2,061.54	$3,220.83	$7,219.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,976.55 / $2,051.14 / $5,663.94	Professional		$1,976.55	$2,051.14	$5,663.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $100.00 / $2,540.81	Facility		$77.00	$100.00	$2,540.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,054.46 / $2,054.46 / $5,095.09	Professional		$2,054.46	$2,054.46	$5,095.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,902.29 / $1,902.29 / $2,016.42	Facility		$1,902.29	$1,902.29	$2,016.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,016.42 / $2,016.42 / $2,016.42	Professional		$2,016.42	$2,016.42	$2,016.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,814.78 / $2,379.38 / $4,436.12	Professional		$1,814.78	$2,379.38	$4,436.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,560.91 / $9,626.15 / $10,082.10	Facility		$2,560.91	$9,626.15	$10,082.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,902.29 / $2,016.42 / $2,862.60	Facility		$1,902.29	$2,016.42	$2,862.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,016.42 / $2,016.42 / $4,361.52	Professional		$2,016.42	$2,016.42	$4,361.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,957.70 / $3,957.70 / $3,957.70	Professional		$3,957.70	$3,957.70	$3,957.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,613.14 / $2,218.07 / $3,427.92	Professional		$1,613.14	$2,218.07	$3,427.92
United Facility/Professional Professional Modifier Low / Median / High Price $2,016.42 / $2,016.42 / $4,144.55	Professional		$2,016.42	$2,016.42	$4,144.55