Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,587.51 / $6,695.00 / $17,393.00	Facility		$1,587.51	$6,695.00	$17,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.77 / $227.29 / $283.47	Professional		$139.77	$227.29	$283.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,016.00 / $4,576.00 / $9,381.00	Facility		$2,016.00	$4,576.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.95 / $155.07 / $275.38	Professional		$48.95	$155.07	$275.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $79.00 / $91.00	Facility		$77.09	$79.00	$91.00
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 Facility Modifier Low / Median / High Price $705.31 / $705.31 / $1,050.00	Facility		$705.31	$705.31	$1,050.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.74 / $126.03 / $157.85	Professional		$120.74	$126.03	$157.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $393.93 / $393.93	Professional		$135.00	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $367.29 / $743.89 / $826.41	Facility		$367.29	$743.89	$826.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,302.63 / $1,308.32 / $1,332.23	Professional		$1,302.63	$1,308.32	$1,332.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.20 / $228.02 / $362.70	Facility		$194.20	$228.02	$362.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.80 / $139.18 / $173.98	Professional		$120.80	$139.18	$173.98
United Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,523.00 / $6,323.00	Facility		$526.00	$1,523.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.96 / $240.57 / $600.94	Professional		$171.96	$240.57	$600.94