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 $378.39 / $430.09 / $679.68	Professional		$378.39	$430.09	$679.68
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 $459.48 / $535.32 / $838.66	Professional		$459.48	$535.32	$838.66
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 $446.26 / $637.52 / $1,174.82	Professional		$446.26	$637.52	$1,174.82
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 $333.62 / $367.85 / $610.78	Professional		$333.62	$367.85	$610.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $410.29 / $574.80 / $929.80	Professional		$410.29	$574.80	$929.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $982.54 / $2,002.76 / $2,183.34	Facility		$982.54	$2,002.76	$2,183.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,130.72 / $3,217.44 / $3,749.63	Professional		$3,130.72	$3,217.44	$3,749.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $477.37 / $720.23 / $13,335.00	Facility		$477.37	$720.23	$13,335.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $342.84 / $548.90 / $714.74	Professional		$342.84	$548.90	$714.74
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 $363.95 / $535.51 / $1,107.49	Professional		$363.95	$535.51	$1,107.49