Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $6,165.95 / $16,982.44	Facility		$1,778.28	$6,165.95	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $575.44 / $1,174.90	Professional		$223.87	$575.44	$1,174.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,511.38 / $15,848.93	Facility		$4,570.88	$8,511.38	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $575.44 / $933.25	Professional		$457.09	$575.44	$933.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $407.38 / $741.31	Professional		$288.40	$407.38	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $630.96 / $831.76	Professional		$89.13	$630.96	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Facility		$4,073.80	$4,073.80	$4,073.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $6,456.54 / $6,456.54	Professional		$5,011.87	$6,456.54	$6,456.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $891.25 / $1,202.26	Facility		$295.12	$891.25	$1,202.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $758.58 / $3,548.13	Professional		$741.31	$758.58	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $6,165.95 / $18,620.87	Facility		$1,995.26	$6,165.95	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $676.08 / $1,318.26	Professional		$489.78	$676.08	$1,318.26