Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,585.78 / $18,197.01	Facility		$3,090.30	$7,585.78	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $346.74 / $537.03	Professional		$275.42	$346.74	$537.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,715.19 / $17,782.79	Facility		$6,025.60	$10,715.19	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $478.63 / $758.58	Professional		$371.54	$478.63	$758.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $933.25 / $6,165.95	Facility		$63.10	$933.25	$6,165.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,019.95 / $3,019.95	Professional		$2,511.89	$3,019.95	$3,019.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $467.74 / $588.84	Facility		$346.74	$467.74	$588.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $371.54	Professional		$363.08	$363.08	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,000.00 / $20,892.96	Facility		$5,370.32	$10,000.00	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $436.52 / $912.01	Professional		$295.12	$436.52	$912.01