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 / $97.72 / $120.23	Professional		$64.57	$97.72	$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 / $83.18 / $151.36	Professional		$60.26	$83.18	$151.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $107.15 / $204.17	Professional		$69.18	$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 $758.58 / $912.01 / $912.01	Professional		$758.58	$912.01	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $109.65 / $169.82	Facility		$77.62	$109.65	$169.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $74.13 / $501.19	Professional		$69.18	$74.13	$501.19
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 / $104.71 / $208.93	Professional		$75.86	$104.71	$208.93