Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,985.00 / $7,662.23 / $17,902.00	Facility		$2,985.00	$7,662.23	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,262.15 / $7,662.23 / $7,930.41	Professional		$2,262.15	$7,662.23	$7,930.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,108.00 / $9,596.00 / $18,150.00	Facility		$4,108.00	$9,596.00	$18,150.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,275.79 / $2,246.34 / $6,338.90	Professional		$1,275.79	$2,246.34	$6,338.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $17,058.50	Facility		$65.90	$100.00	$17,058.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,088.75 / $3,235.54 / $3,773.18	Professional		$3,088.75	$3,235.54	$3,773.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $7,050.00 / $7,050.00	Professional		$393.93	$7,050.00	$7,050.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $26,810.98 / $35,303.44 / $43,196.51	Facility		$26,810.98	$35,303.44	$43,196.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $27,827.90 / $38,798.24 / $46,488.45	Professional		$27,827.90	$38,798.24	$46,488.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,853.32 / $5,846.23 / $9,654.41	Facility		$4,853.32	$5,846.23	$9,654.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,140.59 / $3,462.62 / $4,328.27	Professional		$3,140.59	$3,462.62	$4,328.27
United Facility/Professional Facility Modifier Low / Median / High Price $8,830.00 / $18,315.00 / $45,545.00	Facility		$8,830.00	$18,315.00	$45,545.00
United Facility/Professional Professional Modifier Low / Median / High Price $972.61 / $1,482.76 / $4,498.16	Professional		$972.61	$1,482.76	$4,498.16