Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,164.60 / $9,690.00 / $21,960.90	Facility		$3,164.60	$9,690.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,821.27 / $3,164.60 / $3,164.60	Professional		$1,821.27	$3,164.60	$3,164.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,115.00 / $4,576.00 / $9,589.00	Facility		$2,115.00	$4,576.00	$9,589.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.60 / $1,800.12 / $1,893.98	Professional		$138.60	$1,800.12	$1,893.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $6,424.97	Facility		$65.90	$100.00	$6,424.97
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $100.00	Professional		$40.00	$40.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,710.25 / $6,710.25 / $8,387.81	Professional		$6,710.25	$6,710.25	$8,387.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $350.00 / $350.00	Professional		$350.00	$350.00	$350.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,718.79 / $10,669.36 / $14,590.64	Facility		$8,718.79	$10,669.36	$14,590.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,582.87 / $11,582.87 / $11,582.87	Professional		$11,582.87	$11,582.87	$11,582.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,684.20 / $2,027.69 / $3,164.60	Facility		$1,684.20	$2,027.69	$3,164.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,403.50 / $1,461.52 / $1,636.74	Professional		$1,403.50	$1,461.52	$1,636.74
United Facility/Professional Facility Modifier Low / Median / High Price $3,800.00 / $7,454.00 / $16,148.00	Facility		$3,800.00	$7,454.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,545.61 / $2,152.80 / $5,299.45	Professional		$1,545.61	$2,152.80	$5,299.45