Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $10,471.29 / $25,703.96	Facility		$4,897.79	$10,471.29	$25,703.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $575.44 / $2,398.83	Professional		$457.09	$575.44	$2,398.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,481.54 / $18,197.01	Facility		$6,456.54	$11,481.54	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $776.25 / $1,230.27	Professional		$602.56	$776.25	$1,230.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $933.25 / $57,543.99	Facility		$63.10	$933.25	$57,543.99
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $2,187.76	Professional		$870.96	$1,174.90	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18,197.01 / $25,703.96 / $25,703.96	Facility		$18,197.01	$25,703.96	$25,703.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,000.00 / $1,659.59	Professional		$831.76	$1,000.00	$1,659.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $8,128.31	Facility		$8,128.31	$8,128.31	$8,128.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $7,244.36 / $7,244.36	Professional		$6,309.57	$7,244.36	$7,244.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,071.52 / $1,445.44	Facility		$616.60	$1,071.52	$1,445.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $933.25 / $954.99	Professional		$912.01	$933.25	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $36,307.81 / $79,432.82	Facility		$16,595.87	$36,307.81	$79,432.82
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $724.44 / $1,659.59	Professional		$478.63	$724.44	$1,659.59