Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,471.29 / $22,908.68	Facility		$4,466.84	$10,471.29	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $2,398.83	Professional		$1,513.56	$2,137.96	$2,398.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,715.19 / $17,782.79	Facility		$6,025.60	$10,715.19	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $3,801.89 / $6,606.93	Professional		$1,288.25	$3,801.89	$6,606.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $18,197.01	Facility		$60.26	$100.00	$18,197.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $77.62	Professional		$39.81	$39.81	$77.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $7,079.46 / $7,079.46	Professional		$398.11	$7,079.46	$7,079.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $64,565.42 / $64,565.42 / $64,565.42	Facility		$64,565.42	$64,565.42	$64,565.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $57,543.99 / $69,183.10 / $69,183.10	Professional		$57,543.99	$69,183.10	$69,183.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $9,332.54 / $12,589.25	Facility		$1,949.84	$9,332.54	$12,589.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $8,128.31	Professional		$7,943.28	$7,943.28	$8,128.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $6,165.95 / $18,620.87	Facility		$2,041.74	$6,165.95	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,479.11 / $5,495.41	Professional		$977.24	$1,479.11	$5,495.41