Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $10,232.93 / $23,988.33	Facility		$4,786.30	$10,232.93	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,862.09 / $2,570.40	Professional		$1,258.93	$1,862.09	$2,570.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $13,803.84 / $26,302.68	Facility		$8,511.38	$13,803.84	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,019.95 / $5,888.44	Professional		$1,995.26	$3,019.95	$5,888.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $5,754.40 / $31,622.78	Facility		$63.10	$5,754.40	$31,622.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,000.00 / $2,187.76	Professional		$724.44	$1,000.00	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $2,238.72	Facility		$707.95	$707.95	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $134.90 / $398.11	Professional		$128.82	$134.90	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $23,988.33 / $23,988.33 / $23,988.33	Facility		$23,988.33	$23,988.33	$23,988.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,882.50 / $15,488.17 / $15,488.17	Professional		$12,882.50	$15,488.17	$15,488.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,290.87 / $2,951.21	Facility		$1,621.81	$2,290.87	$2,951.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,819.70	Professional		$1,737.80	$1,737.80	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $16,218.10 / $35,481.34 / $79,432.82	Facility		$16,218.10	$35,481.34	$79,432.82
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,905.46 / $3,890.45	Professional		$1,479.11	$1,905.46	$3,890.45