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 $1,417.80 / $1,819.29 / $2,301.11	Professional		$1,417.80	$1,819.29	$2,301.11
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 $1,953.86 / $2,276.34 / $3,566.26	Professional		$1,953.86	$2,276.34	$3,566.26
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 $891.98 / $1,274.26 / $2,348.21	Professional		$891.98	$1,274.26	$2,348.21
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 $799.29 / $837.28 / $976.40	Professional		$799.29	$837.28	$976.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $820.22 / $1,149.16 / $1,858.78	Professional		$820.22	$1,149.16	$1,858.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,902.43 / $13,341.79 / $16,770.38	Facility		$10,902.43	$13,341.79	$16,770.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,731.90 / $9,583.28 / $10,133.48	Professional		$8,731.90	$9,583.28	$10,133.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,091.65 / $1,484.39 / $13,335.00	Facility		$1,091.65	$1,484.39	$13,335.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $805.37 / $1,097.39 / $1,428.66	Professional		$805.37	$1,097.39	$1,428.66
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 $1,486.24 / $2,264.92 / $4,684.47	Professional		$1,486.24	$2,264.92	$4,684.47