Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $9,008.00 / $19,860.00	Facility		$2,421.00	$9,008.00	$19,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,089.31 / $1,395.28 / $1,395.28	Professional		$1,089.31	$1,395.28	$1,395.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,014.00 / $7,747.00 / $38,225.71	Facility		$3,014.00	$7,747.00	$38,225.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.97 / $1,350.02 / $2,438.33	Professional		$1,174.97	$1,350.02	$2,438.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $1,580.37	Facility		$65.80	$100.00	$1,580.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $89.13	Professional		$40.00	$40.00	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $801.00	Professional		$393.93	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $13,348.17 / $16,334.34 / $17,698.66	Facility		$13,348.17	$16,334.34	$17,698.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,336.08 / $10,113.68 / $11,780.78	Professional		$9,336.08	$10,113.68	$11,780.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,408.71 / $1,665.74 / $2,166.63	Facility		$1,408.71	$1,665.74	$2,166.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,323.44 / $1,371.26 / $6,478.08	Professional		$1,323.44	$1,371.26	$6,478.08
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,078.00 / $28,973.00	Facility		$7,696.00	$13,078.00	$28,973.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,065.24 / $1,491.89 / $2,932.52	Professional		$1,065.24	$1,491.89	$2,932.52