Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $8,090.00 / $19,011.00	Facility		$1,992.00	$8,090.00	$19,011.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.80 / $339.18 / $1,034.74	Professional		$294.80	$339.18	$1,034.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,437.00 / $9,790.00 / $19,252.00	Facility		$4,437.00	$9,790.00	$19,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.76 / $444.76 / $760.40	Professional		$338.76	$444.76	$760.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $9,778.71	Facility		$66.09	$100.00	$9,778.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $622.07 / $685.84 / $1,207.97	Professional		$622.07	$685.84	$1,207.97
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 $3,096.70 / $13,253.75 / $13,253.75	Facility		$3,096.70	$13,253.75	$13,253.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,388.16 / $5,416.08 / $5,708.85	Professional		$5,388.16	$5,416.08	$5,708.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $442.91 / $1,028.76 / $1,354.55	Facility		$442.91	$1,028.76	$1,354.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $622.07 / $685.84 / $857.30	Professional		$622.07	$685.84	$857.30
United Facility/Professional Facility Modifier Low / Median / High Price $5,116.00 / $9,759.00 / $22,073.00	Facility		$5,116.00	$9,759.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $287.97 / $426.99 / $992.80	Professional		$287.97	$426.99	$992.80