Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,471.29 / $22,908.68	Facility		$4,466.84	$10,471.29	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $2,454.71	Professional		$1,380.38	$1,862.09	$2,454.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $13,803.84 / $22,908.68	Facility		$8,511.38	$13,803.84	$22,908.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,570.40 / $4,168.69	Professional		$1,905.46	$2,570.40	$4,168.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $6,456.54	Facility		$60.26	$100.00	$6,456.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,454.71 / $4,897.79	Professional		$1,737.80	$2,454.71	$4,897.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $14,791.08 / $22,908.68	Facility		$8,709.64	$14,791.08	$22,908.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,041.74 / $3,467.37	Professional		$1,698.24	$2,041.74	$3,467.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $32,359.37 / $32,359.37 / $32,359.37	Facility		$32,359.37	$32,359.37	$32,359.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,589.25 / $15,135.61 / $15,135.61	Professional		$12,589.25	$15,135.61	$15,135.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,454.71 / $14,125.38	Facility		$1,862.09	$2,454.71	$14,125.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,905.46 / $1,995.26	Professional		$1,862.09	$1,905.46	$1,995.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,819.70 / $2,187.76	Professional		$1,621.81	$1,819.70	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $6,165.95 / $18,620.87	Facility		$2,041.74	$6,165.95	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,344.23 / $4,570.88	Professional		$1,513.56	$2,344.23	$4,570.88