Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $8,050.00 / $19,011.00	Facility		$1,992.00	$8,050.00	$19,011.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.44 / $491.50 / $799.92	Professional		$427.44	$491.50	$799.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,437.00 / $10,474.00 / $20,418.00	Facility		$4,437.00	$10,474.00	$20,418.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.27 / $751.60 / $1,170.18	Professional		$524.27	$751.60	$1,170.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $7,323.06	Facility		$66.09	$100.00	$7,323.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18,183.00 / $25,976.00 / $25,976.00	Facility		$18,183.00	$25,976.00	$25,976.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.59 / $432.82 / $662.34	Professional		$392.59	$432.82	$662.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,394.10 / $87,953.00 / $87,953.00	Facility		$2,394.10	$87,953.00	$87,953.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,683.44 / $3,788.88 / $4,413.83	Professional		$3,683.44	$3,788.88	$4,413.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $581.36 / $701.36 / $943.18	Facility		$581.36	$701.36	$943.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $392.59 / $432.82 / $541.02	Professional		$392.59	$432.82	$541.02
United Facility/Professional Facility Modifier Low / Median / High Price $17,643.00 / $36,665.00 / $81,823.00	Facility		$17,643.00	$36,665.00	$81,823.00
United Facility/Professional Professional Modifier Low / Median / High Price $417.60 / $607.03 / $1,336.93	Professional		$417.60	$607.03	$1,336.93