Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,950.00 / $11,255.00 / $23,282.00	Facility		$4,950.00	$11,255.00	$23,282.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,050.00 / $11,610.00 / $24,096.87	Professional		$5,050.00	$11,610.00	$24,096.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,391.00 / $11,059.00 / $23,931.00	Facility		$5,391.00	$11,059.00	$23,931.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.61 / $1,306.20 / $1,451.34	Professional		$1,148.61	$1,306.20	$1,451.34
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $62.08 / $95.50 / $5,349.65	Facility		$62.08	$95.50	$5,349.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,319.00 / $13,563.00 / $22,827.00	Facility		$7,319.00	$13,563.00	$22,827.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $4,731.00 / $17,033.14	Professional		$393.93	$4,731.00	$17,033.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $6,873.00 / $14,189.00 / $22,827.00	Facility		$6,873.00	$14,189.00	$22,827.00
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