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 $173.78 / $575.44 / $1,479.11	Professional		$173.78	$575.44	$1,479.11
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 $288.40 / $426.58 / $1,174.90	Professional		$288.40	$426.58	$1,174.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $138.04 / $309.03	Professional		$123.03	$138.04	$309.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $446.68 / $741.31	Professional		$363.08	$446.68	$741.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Facility		$5,623.41	$5,623.41	$5,623.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Professional		$7,413.10	$7,413.10	$7,413.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $512.86 / $851.14	Facility		$245.47	$512.86	$851.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $426.58	Professional		$407.38	$407.38	$426.58
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 $446.68 / $691.83 / $1,230.27	Professional		$446.68	$691.83	$1,230.27