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 $1,658.69 / $1,893.69 / $3,398.60	Professional		$1,658.69	$1,893.69	$3,398.60
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 / $2,014.45 / $6,748.91	Professional		$1,193.91	$2,014.45	$6,748.91
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
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,804.30 / $2,675.10 / $4,749.10	Professional		$1,804.30	$2,675.10	$4,749.10
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
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,845.02 / $2,579.67 / $4,099.18	Professional		$1,845.02	$2,579.67	$4,099.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $23,636.91 / $28,406.95 / $29,534.12	Facility		$23,636.91	$28,406.95	$29,534.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,324.48 / $16,979.91 / $19,690.20	Professional		$16,324.48	$16,979.91	$19,690.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,052.36 / $2,985.44 / $13,335.00	Facility		$2,052.36	$2,985.44	$13,335.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,586.04 / $2,122.78 / $3,210.12	Professional		$1,586.04	$2,122.78	$3,210.12
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 $1,494.36 / $2,277.29 / $5,178.81	Professional		$1,494.36	$2,277.29	$5,178.81