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 $270.74 / $311.51 / $669.93	Professional		$270.74	$311.51	$669.93
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 $446.92 / $647.14 / $1,007.50	Professional		$446.92	$647.14	$1,007.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $7,322.51	Facility		$66.09	$100.00	$7,322.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.58 / $362.29 / $535.30	Professional		$328.58	$362.29	$535.30
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 $2,003.40 / $23,689.15 / $23,689.15	Facility		$2,003.40	$23,689.15	$23,689.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,083.44 / $3,172.72 / $3,696.90	Professional		$3,083.44	$3,172.72	$3,696.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $395.83 / $543.42 / $715.59	Facility		$395.83	$543.42	$715.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $328.58 / $362.29 / $452.86	Professional		$328.58	$362.29	$452.86
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 $263.31 / $393.45 / $812.46	Professional		$263.31	$393.45	$812.46