Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,471.29 / $22,908.68	Facility		$4,466.84	$10,471.29	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,949.84 / $3,162.28	Professional		$1,318.26	$1,949.84	$3,162.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,570.88 / $12,882.50	Facility		$2,570.40	$4,570.88	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $1,819.70 / $2,454.71	Professional		$154.88	$1,819.70	$2,454.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $2,754.23 / $7,762.47	Facility		$63.10	$2,754.23	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $79.43	Professional		$39.81	$39.81	$79.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $398.11	Professional		$141.25	$141.25	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $11,481.54 / $11,481.54	Facility		$11,481.54	$11,481.54	$11,481.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,481.54 / $11,481.54 / $11,481.54	Professional		$11,481.54	$11,481.54	$11,481.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,187.76 / $3,715.35	Facility		$1,737.80	$2,187.76	$3,715.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,659.59 / $1,819.70	Professional		$1,584.89	$1,659.59	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,585.78 / $15,135.61	Facility		$3,981.07	$7,585.78	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,137.96 / $4,677.35	Professional		$1,548.82	$2,137.96	$4,677.35