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 $64.57 / $95.50 / $120.23	Professional		$64.57	$95.50	$120.23
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 $64.57 / $114.82 / $398.11	Professional		$64.57	$114.82	$398.11
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 $60.26 / $81.28 / $151.36	Professional		$60.26	$81.28	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $147.91	Professional		$123.03	$123.03	$147.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $107.15 / $204.17	Professional		$67.61	$107.15	$204.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $891.25 / $891.25	Professional		$741.31	$891.25	$891.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $107.15 / $169.82	Facility		$77.62	$107.15	$169.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $72.44 / $489.78	Professional		$67.61	$72.44	$489.78
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 $75.86 / $102.33 / $204.17	Professional		$75.86	$102.33	$204.17