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 $575.44 / $851.14 / $1,047.13	Professional		$575.44	$851.14	$1,047.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,023.29 / $3,890.45	Professional		$870.96	$1,023.29	$3,890.45
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $2,187.76 / $7,943.28	Facility		$63.10	$2,187.76	$7,943.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,096.48 / $2,089.30	Professional		$758.58	$1,096.48	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,715.35 / $5,623.41	Facility		$707.95	$3,715.35	$5,623.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,258.93 / $2,089.30	Professional		$977.24	$1,258.93	$2,089.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $16,595.87 / $16,595.87	Facility		$16,595.87	$16,595.87	$16,595.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $8,709.64 / $8,709.64	Professional		$7,413.10	$8,709.64	$8,709.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,318.26 / $1,862.09	Facility		$645.65	$1,318.26	$1,862.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,202.26	Professional		$1,096.48	$1,096.48	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $12,022.64 / $25,118.86	Facility		$5,754.40	$12,022.64	$25,118.86
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $2,187.76	Professional		$758.58	$1,023.29	$2,187.76