Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,471.29 / $22,908.68	Facility		$4,466.84	$10,471.29	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $194.98 / $302.00	Professional		$123.03	$194.98	$302.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,882.50	Facility		$2,570.40	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $208.93 / $812.83	Professional		$131.83	$208.93	$812.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $831.76 / $2,137.96	Facility		$63.10	$831.76	$2,137.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $144.54 / $269.15	Professional		$107.15	$144.54	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $295.12	Professional		$245.47	$245.47	$295.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $218.78 / $398.11	Professional		$120.23	$218.78	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,778.28 / $1,778.28	Professional		$1,479.11	$1,778.28	$1,778.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $218.78 / $346.74	Facility		$144.54	$218.78	$346.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $128.82 / $977.24	Professional		$120.23	$128.82	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,884.03 / $7,943.28	Facility		$1,445.44	$2,884.03	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $208.93 / $426.58	Professional		$151.36	$208.93	$426.58