Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,342.00 / $17,538.00	Facility		$1,919.00	$6,342.00	$17,538.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,240.79 / $1,410.31 / $1,764.57	Professional		$1,240.79	$1,410.31	$1,764.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,908.00 / $9,104.00 / $18,150.00	Facility		$3,908.00	$9,104.00	$18,150.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $874.52 / $7,471.16 / $11,968.37	Professional		$874.52	$7,471.16	$11,968.37
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $2,248.92	Facility		$63.90	$100.00	$2,248.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,173.50 / $1,229.26 / $1,644.41	Professional		$1,173.50	$1,229.26	$1,644.41
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 $8,118.48 / $10,222.79 / $10,684.44	Facility		$8,118.48	$10,222.79	$10,684.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,709.60 / $11,195.84 / $12,472.05	Professional		$10,709.60	$11,195.84	$12,472.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,581.79 / $1,997.55 / $2,598.23	Facility		$1,581.79	$1,997.55	$2,598.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,193.20 / $1,433.50 / $1,644.41	Professional		$1,193.20	$1,433.50	$1,644.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,159.00 / $20,279.00	Facility		$2,009.00	$5,159.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,188.07 / $1,810.25 / $4,112.27	Professional		$1,188.07	$1,810.25	$4,112.27