Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,400.00 / $9,674.00 / $19,894.00	Facility		$4,400.00	$9,674.00	$19,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,648.22 / $4,404.71 / $5,083.20	Professional		$1,648.22	$4,404.71	$5,083.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,900.00 / $9,596.00 / $36,748.11	Facility		$3,900.00	$9,596.00	$36,748.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.97 / $2,446.53 / $8,305.52	Professional		$1,412.97	$2,446.53	$8,305.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $603.92 / $862.76 / $1,773.58	Professional		$603.92	$862.76	$1,773.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,937.02 / $2,582.69 / $3,988.12	Professional		$1,937.02	$2,582.69	$3,988.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $17,981.46 / $22,004.64 / $22,640.22	Facility		$17,981.46	$22,004.64	$22,640.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,372.16 / $15,811.92 / $18,419.84	Professional		$15,372.16	$15,811.92	$18,419.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,219.91 / $2,713.19 / $3,914.93	Facility		$2,219.91	$2,713.19	$3,914.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,823.21 / $2,215.62 / $3,663.47	Professional		$1,823.21	$2,215.62	$3,663.47
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,651.00 / $29,312.00	Facility		$7,212.00	$13,651.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,235.13 / $2,079.35 / $5,168.84	Professional		$1,235.13	$2,079.35	$5,168.84