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 $123.03 / $537.03 / $954.99	Professional		$123.03	$537.03	$954.99
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 $162.18 / $223.87 / $354.81	Professional		$162.18	$223.87	$354.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $257.04 / $1,202.26	Facility		$75.86	$257.04	$1,202.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $512.86	Professional		$169.82	$223.87	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $138.04 / $251.19	Professional		$75.86	$138.04	$251.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $794.33 / $1,071.52	Facility		$93.33	$794.33	$1,071.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $77.62 / $79.43	Professional		$75.86	$77.62	$79.43
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 $38.02 / $60.26 / $208.93	Professional		$38.02	$60.26	$208.93