Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.44 / $9,690.00 / $21,960.90	Facility		$172.44	$9,690.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.44 / $172.44 / $958.54	Professional		$172.44	$172.44	$958.54
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 $277.25 / $421.42 / $943.54	Professional		$277.25	$421.42	$943.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $96.60 / $138.00 / $138.00	Professional		$96.60	$138.00	$138.00
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 $393.93 / $443.17 / $731.24	Professional		$393.93	$443.17	$731.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,104.15 / $5,439.31 / $5,602.48	Facility		$1,104.15	$5,439.31	$5,602.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,345.05 / $7,345.05 / $7,345.05	Professional		$7,345.05	$7,345.05	$7,345.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $246.59 / $483.46 / $644.61	Facility		$246.59	$483.46	$644.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $402.88 / $402.88 / $516.16	Professional		$402.88	$402.88	$516.16
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 $456.68 / $718.08 / $1,125.38	Professional		$456.68	$718.08	$1,125.38