Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $7,585.78 / $18,197.01	Facility		$3,311.31	$7,585.78	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,168.69 / $6,025.60	Professional		$3,311.31	$4,168.69	$6,025.60
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 $1,096.48 / $3,548.13 / $5,754.40	Professional		$1,096.48	$3,548.13	$5,754.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $7,079.46 / $22,908.68	Facility		$63.10	$7,079.46	$22,908.68
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 $66,069.34 / $66,069.34 / $66,069.34	Facility		$66,069.34	$66,069.34	$66,069.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $38,018.94 / $45,708.82 / $45,708.82	Professional		$38,018.94	$45,708.82	$45,708.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,897.79 / $8,128.31	Facility		$3,467.37	$4,897.79	$8,128.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,548.13	Professional		$3,467.37	$3,467.37	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $17,782.79 / $38,904.51	Facility		$9,549.93	$17,782.79	$38,904.51
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,258.93 / $4,677.35	Professional		$831.76	$1,258.93	$4,677.35