Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,162.54 / $9,690.00 / $21,960.90	Facility		$2,162.54	$9,690.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,162.54 / $2,162.54 / $12,619.52	Professional		$2,162.54	$2,162.54	$12,619.52
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 $1,275.43 / $2,246.34 / $6,337.30	Professional		$1,275.43	$2,246.34	$6,337.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $62.00 / $100.00 / $14,991.47	Facility		$62.00	$100.00	$14,991.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $97.51	Professional		$40.00	$40.00	$97.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,091.50 / $6,381.02 / $7,441.39	Professional		$6,091.50	$6,381.02	$7,441.39
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 $37,183.86 / $52,882.06 / $64,704.92	Facility		$37,183.86	$52,882.06	$64,704.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $44,281.65 / $58,116.32 / $69,636.98	Professional		$44,281.65	$58,116.32	$69,636.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,270.67 / $10,243.26 / $13,487.52	Facility		$2,270.67	$10,243.26	$13,487.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $6,193.70 / $6,828.84 / $8,536.04	Professional		$6,193.70	$6,828.84	$8,536.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,319.00 / $20,279.00	Facility		$2,047.00	$5,319.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $984.70 / $1,472.45 / $4,558.14	Professional		$984.70	$1,472.45	$4,558.14