Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,985.00 / $6,880.00 / $17,902.00	Facility		$2,985.00	$6,880.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,447.25 / $3,447.25 / $8,215.56	Professional		$3,447.25	$3,447.25	$8,215.56
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 $1,082.83 / $1,957.62 / $5,380.22	Professional		$1,082.83	$1,957.62	$5,380.22
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 / $97.51	Professional		$40.00	$40.00	$97.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13,369.88 / $13,369.88 / $16,712.34	Professional		$13,369.88	$13,369.88	$16,712.34
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 $42,398.84 / $66,194.92 / $74,877.44	Facility		$42,398.84	$66,194.92	$74,877.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $37,834.72 / $42,787.04 / $45,335.48	Professional		$37,834.72	$42,787.04	$45,335.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,343.54 / $5,318.34 / $7,594.19	Facility		$4,343.54	$5,318.34	$7,594.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,203.76 / $4,203.76 / $4,355.71	Professional		$4,203.76	$4,203.76	$4,355.71
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 $838.77 / $1,192.68 / $3,953.53	Professional		$838.77	$1,192.68	$3,953.53