Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,459.27 / $9,690.00 / $21,960.90	Facility		$2,459.27	$9,690.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,112.94 / $2,459.27 / $2,459.27	Professional		$1,112.94	$2,459.27	$2,459.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,213.79 / $7,953.00 / $20,572.00	Facility		$1,213.79	$7,953.00	$20,572.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.86 / $889.67 / $2,065.17	Professional		$602.86	$889.67	$2,065.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $281.95 / $402.80 / $808.82	Professional		$281.95	$402.80	$808.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,821.88 / $5,821.88 / $7,277.34	Professional		$5,821.88	$5,821.88	$7,277.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,173.15 / $1,342.92 / $2,215.94	Professional		$1,173.15	$1,342.92	$2,215.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,961.57 / $8,991.50 / $9,284.10	Facility		$6,961.57	$8,991.50	$9,284.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,248.35 / $9,248.35 / $9,308.54	Professional		$9,248.35	$9,248.35	$9,308.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,220.83 / $1,573.58 / $2,459.27	Facility		$1,220.83	$1,573.58	$2,459.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,220.83 / $1,220.83 / $1,564.20	Professional		$1,220.83	$1,220.83	$1,564.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,319.00 / $20,279.00	Facility		$2,047.00	$5,319.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $946.51 / $1,403.43 / $2,998.01	Professional		$946.51	$1,403.43	$2,998.01