Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $11,481.54 / $23,442.29	Facility		$5,623.41	$11,481.54	$23,442.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $4,466.84	Professional		$1,445.44	$1,905.46	$4,466.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $14,125.38 / $26,915.35	Facility		$8,511.38	$14,125.38	$26,915.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,137.96 / $6,309.57	Professional		$1,318.26	$2,137.96	$6,309.57
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $1,949.84	Facility		$60.26	$100.00	$1,949.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,691.53 / $5,754.40	Professional		$1,905.46	$2,691.53	$5,754.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $13,803.84 / $23,988.33	Facility		$9,549.93	$13,803.84	$23,988.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,511.89 / $3,630.78	Professional		$1,737.80	$2,511.89	$3,630.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $29,512.09 / $29,512.09 / $29,512.09	Facility		$29,512.09	$29,512.09	$29,512.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,982.44 / $19,498.45 / $19,498.45	Professional		$16,982.44	$19,498.45	$19,498.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,090.30 / $16,218.10	Facility		$2,041.74	$3,090.30	$16,218.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,862.09 / $1,905.46	Professional		$1,778.28	$1,862.09	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $6,165.95 / $18,620.87	Facility		$2,041.74	$6,165.95	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,344.23 / $5,128.61	Professional		$1,548.82	$2,344.23	$5,128.61