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 $1,071.52 / $1,737.80 / $4,265.80	Professional		$1,071.52	$1,737.80	$4,265.80
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 $1,905.46 / $2,454.71 / $3,890.45	Professional		$1,905.46	$2,454.71	$3,890.45
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 $954.99 / $1,380.38 / $2,818.38	Professional		$954.99	$1,380.38	$2,818.38
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 $812.83 / $1,122.02 / $1,659.59	Professional		$812.83	$1,122.02	$1,659.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $13,489.63 / $13,489.63	Facility		$13,489.63	$13,489.63	$13,489.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $10,232.93 / $10,232.93	Professional		$8,709.64	$10,232.93	$10,232.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,659.59 / $16,218.10	Facility		$1,096.48	$1,659.59	$16,218.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,202.26 / $1,288.25	Professional		$1,122.02	$1,202.26	$1,288.25
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 $1,445.44 / $2,187.76 / $4,073.80	Professional		$1,445.44	$2,187.76	$4,073.80