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 $1,938.33 / $2,181.52 / $2,774.70	Professional		$1,938.33	$2,181.52	$2,774.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,817.11 / $12,766.00 / $28,484.71	Facility		$5,817.11	$12,766.00	$28,484.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,824.08 / $2,161.44 / $2,625.63	Professional		$1,824.08	$2,161.44	$2,625.63
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 $34,216.00 / $41,870.24 / $43,086.56	Facility		$34,216.00	$41,870.24	$43,086.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,452.64 / $16,926.72 / $19,712.03	Professional		$16,452.64	$16,926.72	$19,712.03
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 $2,477.92 / $2,935.49 / $3,817.67	Facility		$2,477.92	$2,935.49	$3,817.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,332.28 / $2,416.56 / $10,842.01	Professional		$2,332.28	$2,416.56	$10,842.01
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 $1,831.22 / $2,503.19 / $5,024.20	Professional		$1,831.22	$2,503.19	$5,024.20