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 $187.60 / $213.66 / $334.97	Professional		$187.60	$213.66	$334.97
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 $239.75 / $279.32 / $437.60	Professional		$239.75	$279.32	$437.60
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 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 $161.66 / $169.35 / $197.50	Professional		$161.66	$169.35	$197.50
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 $802.04 / $1,075.97 / $1,087.00	Facility		$802.04	$1,075.97	$1,087.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,542.24 / $1,708.08 / $1,848.60	Professional		$1,542.24	$1,708.08	$1,848.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $254.03 / $293.72 / $395.01	Facility		$254.03	$293.72	$395.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.39 / $181.26 / $226.57	Professional		$164.39	$181.26	$226.57
United Facility/Professional Facility Modifier Low / Median / High Price $5,116.00 / $9,759.00 / $22,073.00	Facility		$5,116.00	$9,759.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.16 / $264.22 / $634.73	Professional		$174.16	$264.22	$634.73