Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,880.00 / $17,902.00	Facility		$1,820.00	$6,880.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.13 / $459.06 / $729.56	Professional		$403.13	$459.06	$729.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,108.00 / $9,596.00 / $18,150.00	Facility		$4,108.00	$9,596.00	$18,150.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $497.98 / $580.16 / $908.94	Professional		$497.98	$580.16	$908.94
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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.15 / $368.90 / $430.21	Professional		$352.15	$368.90	$430.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,493.44 / $4,274.96 / $4,401.28	Facility		$3,493.44	$4,274.96	$4,401.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,359.68 / $3,458.40 / $4,025.10	Professional		$3,359.68	$3,458.40	$4,025.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $552.80 / $627.40 / $779.75	Facility		$552.80	$627.40	$779.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $358.06 / $394.78 / $493.48	Professional		$358.06	$394.78	$493.48
United Facility/Professional Facility Modifier Low / Median / High Price $8,830.00 / $18,191.00 / $42,098.00	Facility		$8,830.00	$18,191.00	$42,098.00
United Facility/Professional Professional Modifier Low / Median / High Price $374.36 / $561.54 / $1,241.21	Professional		$374.36	$561.54	$1,241.21