Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,546.09 / $10,550.00 / $22,788.00	Facility		$3,546.09	$10,550.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,034.43 / $1,166.07 / $1,895.27	Professional		$1,034.43	$1,166.07	$1,895.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,540.00 / $12,800.00 / $24,456.00	Facility		$5,540.00	$12,800.00	$24,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $739.76 / $853.87 / $1,202.06	Professional		$739.76	$853.87	$1,202.06
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $2,261.36	Facility		$63.50	$100.00	$2,261.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,182.00 / $13,335.00 / $23,091.00	Facility		$9,182.00	$13,335.00	$23,091.00
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 $11,656.70 / $14,947.57 / $15,275.26	Facility		$11,656.70	$14,947.57	$15,275.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,541.52 / $8,731.12 / $10,462.87	Professional		$8,541.52	$8,731.12	$10,462.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,342.85 / $1,790.46 / $19,249.00	Facility		$1,342.85	$1,790.46	$19,249.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,155.76 / $1,155.76 / $1,197.56	Professional		$1,155.76	$1,155.76	$1,197.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,319.00 / $20,279.00	Facility		$2,047.00	$5,319.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,017.90 / $1,509.30 / $3,517.43	Professional		$1,017.90	$1,509.30	$3,517.43