Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,410.05 / $9,690.00 / $21,960.90	Facility		$1,410.05	$9,690.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,309.23 / $1,410.05 / $2,219.42	Professional		$1,309.23	$1,410.05	$2,219.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,846.00 / $12,360.00 / $23,933.00	Facility		$3,846.00	$12,360.00	$23,933.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,323.82 / $1,752.05 / $2,691.14	Professional		$1,323.82	$1,752.05	$2,691.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.40 / $95.50 / $5,349.65	Facility		$60.40	$95.50	$5,349.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,020.61 / $1,458.01 / $2,927.68	Professional		$1,020.61	$1,458.01	$2,927.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,319.00 / $13,678.00 / $22,827.00	Facility		$7,319.00	$13,678.00	$22,827.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,089.31 / $1,201.02 / $1,889.53	Professional		$1,089.31	$1,201.02	$1,889.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,360.06 / $1,614.48 / $2,569.01	Professional		$1,360.06	$1,614.48	$2,569.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $21,255.52 / $26,011.20 / $26,758.72	Facility		$21,255.52	$26,011.20	$26,758.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,221.12 / $10,512.16 / $12,245.33	Professional		$10,221.12	$10,512.16	$12,245.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,439.25 / $1,827.21 / $8,732.00	Facility		$1,439.25	$1,827.21	$8,732.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,089.31 / $1,425.01 / $1,813.42	Professional		$1,089.31	$1,425.01	$1,813.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,228.36 / $1,439.25 / $1,689.01	Professional		$1,228.36	$1,439.25	$1,689.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,319.00 / $20,279.00	Facility		$2,047.00	$5,319.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,168.42 / $1,765.26 / $3,774.06	Professional		$1,168.42	$1,765.26	$3,774.06