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 $353.97 / $403.07 / $642.23	Professional		$353.97	$403.07	$642.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,191.00 / $13,747.00	Facility		$2,456.00	$6,191.00	$13,747.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $439.50 / $512.04 / $802.19	Professional		$439.50	$512.04	$802.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $3,855.69	Facility		$66.09	$100.00	$3,855.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.00 / $324.75 / $378.75	Professional		$310.00	$324.75	$378.75
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 $3,075.12 / $3,763.28 / $3,871.52	Facility		$3,075.12	$3,763.28	$3,871.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,957.60 / $3,041.92 / $3,543.15	Professional		$2,957.60	$3,041.92	$3,543.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $485.39 / $550.88 / $686.49	Facility		$485.39	$550.88	$686.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $315.20 / $347.54 / $434.43	Professional		$315.20	$347.54	$434.43
United Facility/Professional Facility Modifier Low / Median / High Price $5,116.00 / $9,713.00 / $21,278.00	Facility		$5,116.00	$9,713.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $338.95 / $494.79 / $1,036.00	Professional		$338.95	$494.79	$1,036.00