Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $6,025.60 / $16,982.44	Facility		$1,778.28	$6,025.60	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $245.47 / $436.52	Professional		$43.65	$245.47	$436.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $199.53 / $389.05	Professional		$67.61	$199.53	$389.05
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $724.44 / $1,023.29	Facility		$616.60	$724.44	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $85.11	Professional		$38.90	$38.90	$85.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $257.04 / $831.76	Professional		$128.82	$257.04	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $104.71 / $467.74	Facility		$53.70	$104.71	$467.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $47.86 / $85.11	Professional		$38.90	$47.86	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,479.11 / $6,025.60	Facility		$426.58	$1,479.11	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $380.19 / $660.69	Professional		$53.70	$380.19	$660.69