Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $6,025.60 / $16,982.44	Facility		$1,778.28	$6,025.60	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $44.67 / $87.10	Professional		$7.94	$44.67	$87.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,570.88 / $12,882.50	Facility		$2,570.40	$4,570.88	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $61.66 / $93.33	Professional		$19.50	$61.66	$93.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $1,862.09	Facility		$60.26	$100.00	$1,862.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $79.43 / $134.90	Professional		$56.23	$79.43	$134.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $67.61 / $112.20	Professional		$50.12	$67.61	$112.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $741.31 / $741.31	Professional		$588.84	$741.31	$741.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $91.20 / $131.83	Facility		$11.48	$91.20	$131.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $120.23	Professional		$72.44	$72.44	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,456.54	Facility		$588.84	$1,584.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $23.44 / $81.28	Professional		$15.85	$23.44	$81.28