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 $281.84 / $380.19 / $1,000.00	Professional		$281.84	$380.19	$1,000.00
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 $263.03 / $524.81 / $2,290.87	Professional		$263.03	$524.81	$2,290.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $2,398.83	Facility		$60.26	$100.00	$2,398.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $72.44	Professional		$39.81	$39.81	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $446.68	Professional		$371.54	$371.54	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $630.96 / $831.76	Professional		$141.25	$630.96	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Facility		$6,165.95	$6,165.95	$6,165.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,311.31 / $3,311.31	Professional		$2,754.23	$3,311.31	$3,311.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $489.78 / $1,000.00	Facility		$354.81	$489.78	$1,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $389.05 / $1,819.70	Professional		$380.19	$389.05	$1,819.70
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 $295.12 / $416.87 / $776.25	Professional		$295.12	$416.87	$776.25