Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $9,674.00 / $19,894.00	Facility		$2,421.00	$9,674.00	$19,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,770.65 / $2,099.41 / $2,685.83	Professional		$1,770.65	$2,099.41	$2,685.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,312.00 / $12,359.26 / $25,585.00	Facility		$5,312.00	$12,359.26	$25,585.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,629.65 / $1,972.18 / $2,396.62	Professional		$1,629.65	$1,972.18	$2,396.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $97.00 / $5,349.65	Facility		$63.50	$97.00	$5,349.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $801.00	Professional		$393.93	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $33,128.64 / $40,539.68 / $41,699.68	Facility		$33,128.64	$40,539.68	$41,699.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,929.84 / $16,382.08 / $19,085.48	Professional		$15,929.84	$16,382.08	$19,085.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,398.61 / $2,842.20 / $3,695.46	Facility		$2,398.61	$2,842.20	$3,695.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,258.16 / $2,339.75 / $10,495.89	Professional		$2,258.16	$2,339.75	$10,495.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,123.00 / $18,493.00	Facility		$2,009.00	$5,123.00	$18,493.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,786.40 / $2,424.39 / $5,236.89	Professional		$1,786.40	$2,424.39	$5,236.89