Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $9,674.00 / $21,861.00	Facility		$2,387.00	$9,674.00	$21,861.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,248.77 / $1,879.94 / $2,408.96	Professional		$1,248.77	$1,879.94	$2,408.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,139.00 / $12,800.00 / $24,456.00	Facility		$5,139.00	$12,800.00	$24,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,947.88 / $2,581.31 / $5,183.96	Professional		$1,947.88	$2,581.31	$5,183.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $21,917.85	Facility		$66.09	$100.00	$21,917.85
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $569.61 / $813.73 / $1,674.98	Professional		$569.61	$813.73	$1,674.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $705.31 / $705.31 / $2,235.00	Facility		$705.31	$705.31	$2,235.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $350.00 / $393.93	Professional		$135.00	$350.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,705.96 / $18,068.99 / $23,788.45	Facility		$11,705.96	$18,068.99	$23,788.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,866.32 / $13,951.44 / $15,418.28	Professional		$12,866.32	$13,951.44	$15,418.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,973.94 / $2,374.76 / $3,076.43	Facility		$1,973.94	$2,374.76	$3,076.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,823.85 / $1,823.85 / $1,889.79	Professional		$1,823.85	$1,823.85	$1,889.79
United Facility/Professional Facility Modifier Low / Median / High Price $16,173.00 / $36,616.00 / $81,823.00	Facility		$16,173.00	$36,616.00	$81,823.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,495.53 / $1,920.73 / $4,248.75	Professional		$1,495.53	$1,920.73	$4,248.75