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 $19.95 / $131.83 / $457.09	Professional		$19.95	$131.83	$457.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $7,943.28 / $15,848.93	Facility		$4,570.88	$7,943.28	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $134.90 / $281.84	Professional		$104.71	$134.90	$281.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $741.31 / $1,862.09	Facility		$63.10	$741.31	$1,862.09
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 Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $398.11	Professional		$120.23	$120.23	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility		$1,862.09	$1,862.09	$1,862.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,344.23 / $2,344.23	Professional		$1,737.80	$2,344.23	$2,344.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $257.04 / $371.54	Facility		$19.95	$257.04	$371.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $229.09 / $1,412.54	Professional		$223.87	$229.09	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,456.54	Facility		$588.84	$1,584.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $199.53 / $389.05	Professional		$141.25	$199.53	$389.05