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 $141.25 / $141.25 / $223.87	Professional		$141.25	$141.25	$223.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $91.20 / $169.82	Professional		$70.79	$91.20	$169.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $524.81 / $2,187.76	Facility		$64.57	$524.81	$2,187.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $25.12 / $53.70	Professional		$16.98	$25.12	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $23.44 / $42.66	Professional		$15.85	$23.44	$42.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,258.93 / $1,258.93	Professional		$1,202.26	$1,258.93	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $28.18 / $234.42	Facility		$19.95	$28.18	$234.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.98 / $1,071.52	Professional		$16.60	$16.98	$1,071.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.50 / $28.18	Professional		$14.13	$19.50	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,456.54	Facility		$588.84	$1,584.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $288.40 / $426.58	Professional		$56.23	$288.40	$426.58