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 $1,582.96 / $1,820.23 / $2,389.48	Professional		$1,582.96	$1,820.23	$2,389.48
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 $1,193.91 / $1,972.57 / $6,455.93	Professional		$1,193.91	$1,972.57	$6,455.93
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
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,182.00 / $13,335.00 / $23,091.00	Facility		$9,182.00	$13,335.00	$23,091.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,389.00 / $1,389.00 / $1,736.25	Professional		$1,389.00	$1,389.00	$1,736.25
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 $14,721.52 / $18,822.54 / $19,252.75	Facility		$14,721.52	$18,822.54	$19,252.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,755.60 / $11,004.16 / $13,183.58	Professional		$10,755.60	$11,004.16	$13,183.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,715.30 / $2,395.44 / $19,249.00	Facility		$1,715.30	$2,395.44	$19,249.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,459.62 / $1,459.62 / $1,512.40	Professional		$1,459.62	$1,459.62	$1,512.40
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 $1,547.45 / $2,213.92 / $4,550.06	Professional		$1,547.45	$2,213.92	$4,550.06