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 $707.95 / $1,258.93 / $2,454.71	Professional		$707.95	$1,258.93	$2,454.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $13,182.57 / $22,387.21	Facility		$5,248.07	$13,182.57	$22,387.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $912.01 / $2,344.23	Professional		$616.60	$912.01	$2,344.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $512.86 / $1,023.29	Professional		$363.08	$512.86	$1,023.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,348.96 / $2,290.87	Professional		$1,096.48	$1,348.96	$2,290.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $8,912.51	Facility		$8,912.51	$8,912.51	$8,912.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $9,332.54	Professional		$9,332.54	$9,332.54	$9,332.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $2,570.40	Facility		$1,071.52	$1,548.82	$2,570.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,318.26	Professional		$1,230.27	$1,230.27	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $6,165.95 / $18,620.87	Facility		$2,041.74	$6,165.95	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,380.38 / $2,951.21	Professional		$954.99	$1,380.38	$2,951.21