Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,546.09 / $10,550.00 / $22,788.00	Facility		$3,546.09	$10,550.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,701.55 / $1,956.59 / $2,386.96	Professional		$1,701.55	$1,956.59	$2,386.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,863.00 / $16,006.00 / $37,945.00	Facility		$5,863.00	$16,006.00	$37,945.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,712.10 / $2,120.76 / $6,940.79	Professional		$1,712.10	$2,120.76	$6,940.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.40 / $95.50 / $1,652.10	Facility		$60.40	$95.50	$1,652.10
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 $22,859.52 / $27,974.72 / $31,138.56	Facility		$22,859.52	$27,974.72	$31,138.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,110.48 / $12,233.12 / $13,172.78	Professional		$11,110.48	$12,233.12	$13,172.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,810.46 / $2,180.85 / $2,821.04	Facility		$1,810.46	$2,180.85	$2,821.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,558.23 / $1,558.23 / $1,614.58	Professional		$1,558.23	$1,558.23	$1,614.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,319.00 / $20,279.00	Facility		$2,047.00	$5,319.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,656.37 / $2,332.67 / $4,890.96	Professional		$1,656.37	$2,332.67	$4,890.96