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 $223.87 / $323.59 / $512.86	Professional		$223.87	$323.59	$512.86
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 $147.91 / $213.80 / $645.65	Professional		$147.91	$213.80	$645.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $6,165.95	Facility		$60.26	$100.00	$6,165.95
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 $707.95 / $707.95 / $1,047.13	Facility		$707.95	$707.95	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $134.90 / $398.11	Professional		$128.82	$134.90	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,884.03 / $2,884.03	Professional		$2,398.83	$2,884.03	$2,884.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $416.87 / $562.34	Facility		$309.03	$416.87	$562.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $354.81	Professional		$346.74	$346.74	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,548.82 / $6,309.57	Facility		$549.54	$1,548.82	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $331.13 / $676.08	Professional		$257.04	$331.13	$676.08