Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.00 / $5,382.00 / $16,713.00	Facility		$1,174.00	$5,382.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.33 / $179.52 / $569.60	Professional		$149.33	$179.52	$569.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,882.00 / $4,542.00 / $9,244.00	Facility		$1,882.00	$4,542.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $585.00 / $940.00	Professional		$500.00	$585.00	$940.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $7,473.32	Facility		$66.09	$100.00	$7,473.32
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $275.41 / $393.44 / $861.48	Professional		$275.41	$393.44	$861.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.41 / $281.41 / $281.41	Professional		$281.41	$281.41	$281.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $244.78 / $388.83 / $713.62	Professional		$244.78	$388.83	$713.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,068.88 / $1,862.05 / $1,862.05	Facility		$1,068.88	$1,862.05	$1,862.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,051.52 / $2,297.92 / $2,462.85	Professional		$2,051.52	$2,297.92	$2,462.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $206.29 / $356.91 / $531.66	Facility		$206.29	$356.91	$531.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $244.78 / $357.40 / $649.79	Professional		$244.78	$357.40	$649.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $214.04 / $294.31 / $487.36	Professional		$214.04	$294.31	$487.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,407.00 / $2,753.00 / $7,655.00	Facility		$1,407.00	$2,753.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $146.56 / $279.38 / $756.51	Professional		$146.56	$279.38	$756.51