Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,408.23 / $9,690.00 / $21,960.90	Facility		$1,408.23	$9,690.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,216.18 / $1,407.79 / $2,849.30	Professional		$1,216.18	$1,407.79	$2,849.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,863.00 / $14,851.00 / $32,649.00	Facility		$5,863.00	$14,851.00	$32,649.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,393.27 / $1,902.96 / $3,828.96	Professional		$1,393.27	$1,902.96	$3,828.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $62.08 / $95.50 / $1,684.75	Facility		$62.08	$95.50	$1,684.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,457.26 / $1,526.54 / $1,780.22	Professional		$1,457.26	$1,526.54	$1,780.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $27,288.16 / $33,392.64 / $34,352.32	Facility		$27,288.16	$33,392.64	$34,352.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,121.44 / $13,495.20 / $15,720.83	Professional		$13,121.44	$13,495.20	$15,720.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,710.29 / $2,474.17 / $3,226.64	Facility		$1,710.29	$2,474.17	$3,226.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,481.69 / $1,633.65 / $2,042.06	Professional		$1,481.69	$1,633.65	$2,042.06
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 $1,143.76 / $1,655.53 / $3,477.32	Professional		$1,143.76	$1,655.53	$3,477.32