Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $10,061.00 / $22,330.11	Facility		$2,421.00	$10,061.00	$22,330.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $500.83 / $569.25 / $1,515.26	Professional		$500.83	$569.25	$1,515.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,437.00 / $10,474.00 / $20,418.00	Facility		$4,437.00	$10,474.00	$20,418.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $624.96 / $728.11 / $1,140.70	Professional		$624.96	$728.11	$1,140.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $4,320.78	Facility		$66.09	$100.00	$4,320.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $673.21 / $961.73 / $1,839.12	Professional		$673.21	$961.73	$1,839.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18,183.00 / $25,976.00 / $25,976.00	Facility		$18,183.00	$25,976.00	$25,976.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.16 / $693.62 / $808.87	Professional		$662.16	$693.62	$808.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $865.56 / $1,034.58 / $1,634.94	Professional		$865.56	$1,034.58	$1,634.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,079.68 / $6,568.56 / $8,038.24	Facility		$6,079.68	$6,568.56	$8,038.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,516.80 / $6,317.44 / $7,188.68	Professional		$4,516.80	$6,317.44	$7,188.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $746.33 / $1,136.23 / $1,458.85	Facility		$746.33	$1,136.23	$1,458.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $673.26 / $901.83 / $1,154.08	Professional		$673.26	$901.83	$1,154.08
United Facility/Professional Facility Modifier Low / Median / High Price $17,643.00 / $36,665.00 / $81,823.00	Facility		$17,643.00	$36,665.00	$81,823.00
United Facility/Professional Professional Modifier Low / Median / High Price $465.08 / $708.75 / $1,477.13	Professional		$465.08	$708.75	$1,477.13