Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $9,358.00 / $19,011.00	Facility		$3,671.00	$9,358.00	$19,011.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,980.03 / $9,905.71 / $11,350.02	Professional		$5,980.03	$9,905.71	$11,350.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,437.00 / $10,117.00 / $19,252.00	Facility		$4,437.00	$10,117.00	$19,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,516.89 / $11,204.99 / $35,113.87	Professional		$5,516.89	$11,204.99	$35,113.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $8,671.96	Facility		$66.09	$100.00	$8,671.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $672.78 / $961.11 / $1,837.93	Professional		$672.78	$961.11	$1,837.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $719.25 / $899.06 / $15,366.09	Professional		$719.25	$899.06	$15,366.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $865.00 / $1,037.16 / $1,633.89	Professional		$865.00	$1,037.16	$1,633.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $23,805.88 / $37,448.40 / $50,088.08	Facility		$23,805.88	$37,448.40	$50,088.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $47,741.20 / $47,741.20 / $47,741.20	Professional		$47,741.20	$47,741.20	$47,741.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $940.51 / $1,178.68 / $13,022.69	Facility		$940.51	$1,178.68	$13,022.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $820.09 / $942.87 / $1,153.33	Professional		$820.09	$942.87	$1,153.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $780.14 / $930.90 / $1,072.69	Professional		$780.14	$930.90	$1,072.69
United Facility/Professional Facility Modifier Low / Median / High Price $8,830.00 / $18,315.00 / $45,545.00	Facility		$8,830.00	$18,315.00	$45,545.00
United Facility/Professional Professional Modifier Low / Median / High Price $8,379.42 / $12,189.65 / $24,744.99	Professional		$8,379.42	$12,189.65	$24,744.99