Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,001.49 / $9,690.00 / $21,960.90	Facility		$2,001.49	$9,690.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,728.96 / $2,001.28 / $2,457.79	Professional		$1,728.96	$2,001.28	$2,457.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,738.00 / $12,001.00 / $23,933.00	Facility		$3,738.00	$12,001.00	$23,933.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,856.82 / $2,482.02 / $3,792.53	Professional		$1,856.82	$2,482.02	$3,792.53
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 $1,338.30 / $1,911.86 / $3,839.01	Professional		$1,338.30	$1,911.86	$3,839.01
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 $1,353.83 / $1,492.65 / $2,253.75	Professional		$1,353.83	$1,492.65	$2,253.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,783.41 / $2,118.01 / $3,368.67	Professional		$1,783.41	$2,118.01	$3,368.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $26,416.96 / $32,327.68 / $33,262.40	Facility		$26,416.96	$32,327.68	$33,262.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,703.36 / $13,067.20 / $15,222.38	Professional		$12,703.36	$13,067.20	$15,222.38
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 $1,914.56 / $2,412.35 / $8,732.00	Facility		$1,914.56	$2,412.35	$8,732.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,353.83 / $1,868.73 / $2,377.88	Professional		$1,353.83	$1,868.73	$2,377.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,608.89 / $1,887.24 / $2,212.21	Professional		$1,608.89	$1,887.24	$2,212.21
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 $1,526.39 / $2,309.03 / $4,552.43	Professional		$1,526.39	$2,309.03	$4,552.43