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 $117.49 / $181.97 / $537.03	Professional		$117.49	$181.97	$537.03
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 $112.20 / $194.98 / $724.44	Professional		$112.20	$194.98	$724.44
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 $91.20 / $123.03 / $234.42	Professional		$91.20	$123.03	$234.42
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 $223.87 / $223.87 / $269.15	Professional		$223.87	$223.87	$269.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $190.55 / $371.54	Professional		$102.33	$190.55	$371.54
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 $1,348.96 / $1,621.81 / $1,621.81	Professional		$1,348.96	$1,621.81	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $194.98 / $309.03	Facility		$123.03	$194.98	$309.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $109.65 / $891.25	Professional		$102.33	$109.65	$891.25
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 $138.04 / $186.21 / $380.19	Professional		$138.04	$186.21	$380.19