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 / $93.33 / $407.38	Professional		$67.61	$93.33	$407.38
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 $56.23 / $107.15 / $371.54	Professional		$56.23	$107.15	$371.54
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 / $70.79 / $131.83	Professional		$52.48	$70.79	$131.83
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 $58.88 / $97.72 / $186.21	Professional		$58.88	$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 $691.83 / $831.76 / $831.76	Professional		$691.83	$831.76	$831.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $102.33 / $169.82	Facility		$69.18	$102.33	$169.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $61.66 / $457.09	Professional		$58.88	$61.66	$457.09
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 $70.79 / $95.50 / $190.55	Professional		$70.79	$95.50	$190.55