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 $330.71 / $491.31 / $630.65	Professional		$330.71	$491.31	$630.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $6,163.00 / $13,012.00	Facility		$2,275.00	$6,163.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $361.00 / $1,098.74 / $1,268.25	Professional		$361.00	$1,098.74	$1,268.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,714.18	Facility		$66.00	$100.00	$5,714.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $193.44 / $276.33 / $568.82	Professional		$193.44	$276.33	$568.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $705.31 / $705.31 / $1,050.00	Facility		$705.31	$705.31	$1,050.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $217.57 / $286.41 / $515.54	Professional		$217.57	$286.41	$515.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,871.04 / $12,509.28 / $13,878.45	Facility		$1,871.04	$12,509.28	$13,878.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.71 / $2,836.88 / $3,127.05	Professional		$2,398.71	$2,836.88	$3,127.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $271.02 / $323.89 / $558.11	Facility		$271.02	$323.89	$558.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $228.53 / $284.20 / $384.74	Professional		$228.53	$284.20	$384.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $228.93 / $270.33 / $344.04	Professional		$228.93	$270.33	$344.04
United Facility/Professional Facility Modifier Low / Median / High Price $6,437.00 / $11,420.00 / $24,889.00	Facility		$6,437.00	$11,420.00	$24,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $225.36 / $291.33 / $627.04	Professional		$225.36	$291.33	$627.04