Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,256.22 / $5,545.00 / $17,133.00	Facility		$1,256.22	$5,545.00	$17,133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.82 / $262.45 / $334.64	Professional		$232.82	$262.45	$334.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,769.00 / $11,233.00	Facility		$2,143.00	$5,769.00	$11,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.13 / $189.25 / $303.64	Professional		$154.13	$189.25	$303.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $9,241.04	Facility		$66.09	$100.00	$9,241.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.10 / $218.00 / $291.63	Professional		$208.10	$218.00	$291.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $623.11 / $1,271.59 / $1,386.05	Facility		$623.11	$1,271.59	$1,386.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,985.36 / $2,041.28 / $2,377.88	Professional		$1,985.36	$2,041.28	$2,377.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $295.61 / $353.34 / $460.87	Facility		$295.61	$353.34	$460.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $211.57 / $254.27 / $291.63	Professional		$211.57	$254.27	$291.63
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,551.00 / $6,920.00	Facility		$548.00	$1,551.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $228.09 / $339.70 / $807.84	Professional		$228.09	$339.70	$807.84