Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,165.95 / $16,982.44	Facility		$1,737.80	$6,165.95	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $208.93 / $630.96	Professional		$102.33	$208.93	$630.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,882.50	Facility		$2,570.40	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $269.15 / $758.58	Professional		$186.21	$269.15	$758.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $275.42	Professional		$107.15	$151.36	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20,417.38 / $23,988.33 / $28,840.32	Facility		$20,417.38	$23,988.33	$28,840.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $218.78	Professional		$181.97	$181.97	$218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $162.18 / $288.40	Professional		$107.15	$162.18	$288.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $1,445.44	Professional		$1,202.26	$1,445.44	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $173.78 / $269.15	Facility		$128.82	$173.78	$269.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $112.20 / $794.33	Professional		$107.15	$112.20	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,456.54	Facility		$588.84	$1,584.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $199.53 / $426.58	Professional		$123.03	$199.53	$426.58