Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,845.93 / $9,690.00 / $21,960.90	Facility		$1,845.93	$9,690.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,200.13 / $1,760.74 / $1,845.93	Professional		$1,200.13	$1,760.74	$1,845.93
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 / $1,247.76 / $1,893.98	Professional		$138.60	$1,247.76	$1,893.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $5,981.41	Facility		$66.09	$100.00	$5,981.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $100.00	Professional		$40.00	$40.00	$100.00
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 $4,206.88 / $5,147.92 / $5,298.80	Facility		$4,206.88	$5,147.92	$5,298.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,018.38 / $7,018.38 / $7,018.38	Professional		$7,018.38	$7,018.38	$7,018.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $673.94 / $811.09 / $2,218.53	Facility		$673.94	$811.09	$2,218.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $573.50 / $573.50 / $594.22	Professional		$573.50	$573.50	$594.22
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 $1,490.41 / $2,157.50 / $5,644.44	Professional		$1,490.41	$2,157.50	$5,644.44