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 $1,594.25 / $1,783.84 / $2,363.80	Professional		$1,594.25	$1,783.84	$2,363.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,863.00 / $16,006.00 / $37,945.00	Facility		$5,863.00	$16,006.00	$37,945.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.89 / $170.85 / $1,703.35	Professional		$24.89	$170.85	$1,703.35
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $1,984.18	Facility		$63.90	$100.00	$1,984.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $844.21 / $1,206.02 / $2,213.92	Professional		$844.21	$1,206.02	$2,213.92
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 $867.26 / $1,192.83 / $1,960.85	Professional		$867.26	$1,192.83	$1,960.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,400.96 / $15,175.49 / $19,593.64	Facility		$12,400.96	$15,175.49	$19,593.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,541.82 / $11,196.56 / $13,041.83	Professional		$10,541.82	$11,196.56	$13,041.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.32 / $1,387.61 / $2,565.78	Facility		$1,023.32	$1,387.61	$2,565.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $852.77 / $895.60 / $908.69	Professional		$852.77	$895.60	$908.69
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 $1,517.89 / $2,276.82 / $4,633.85	Professional		$1,517.89	$2,276.82	$4,633.85