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 $67.61 / $91.20 / $245.47	Professional		$67.61	$91.20	$245.47
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 $54.95 / $107.15 / $363.08	Professional		$54.95	$107.15	$363.08
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 $52.48 / $69.18 / $128.82	Professional		$52.48	$69.18	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $138.04	Professional		$114.82	$114.82	$138.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $97.72 / $186.21	Professional		$57.54	$97.72	$186.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $794.33 / $794.33	Professional		$660.69	$794.33	$794.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $97.72 / $158.49	Facility		$69.18	$97.72	$158.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $61.66 / $436.52	Professional		$57.54	$61.66	$436.52
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 $69.18 / $93.33 / $186.21	Professional		$69.18	$93.33	$186.21