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 $241.82 / $392.99 / $490.47	Professional		$241.82	$392.99	$490.47
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 $58.74 / $216.09 / $398.99	Professional		$58.74	$216.09	$398.99
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 $209.56 / $218.74 / $273.86	Professional		$209.56	$218.74	$273.86
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 $637.30 / $1,253.44 / $1,434.12	Facility		$637.30	$1,253.44	$1,434.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,008.70 / $2,054.08 / $2,313.15	Professional		$2,008.70	$2,054.08	$2,313.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $336.98 / $394.34 / $580.85	Facility		$336.98	$394.34	$580.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $209.67 / $241.54 / $301.92	Professional		$209.67	$241.54	$301.92
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,506.00 / $7,068.00	Facility		$548.00	$1,506.00	$7,068.00
United Facility/Professional Professional Modifier Low / Median / High Price $307.58 / $423.12 / $915.53	Professional		$307.58	$423.12	$915.53