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 $437.28 / $503.10 / $730.60	Professional		$437.28	$503.10	$730.60
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 $509.75 / $662.13 / $1,030.85	Professional		$509.75	$662.13	$1,030.85
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $16,084.41	Facility		$66.09	$100.00	$16,084.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.66 / $369.44 / $430.86	Professional		$352.66	$369.44	$430.86
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 $2,186.40 / $87,953.00 / $87,953.00	Facility		$2,186.40	$87,953.00	$87,953.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,364.64 / $3,796.64 / $4,030.50	Professional		$3,364.64	$3,796.64	$4,030.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $531.07 / $646.28 / $809.85	Facility		$531.07	$646.28	$809.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $358.57 / $395.37 / $494.21	Professional		$358.57	$395.37	$494.21
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 $425.57 / $628.53 / $1,256.58	Professional		$425.57	$628.53	$1,256.58