Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.23 / $9,690.00 / $21,960.90	Facility		$84.23	$9,690.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $80.00 / $3,064.74	Professional		$72.56	$80.00	$3,064.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,368.00 / $6,375.00 / $36,180.33	Facility		$2,368.00	$6,375.00	$36,180.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.59 / $625.58 / $714.82	Professional		$79.59	$625.58	$714.82
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 $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 $11,276.10 / $25,649.25 / $32,048.17	Facility		$11,276.10	$25,649.25	$32,048.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,126.45 / $18,425.12 / $18,425.12	Professional		$10,126.45	$18,425.12	$18,425.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.42 / $69.84 / $18,892.00	Facility		$45.42	$69.84	$18,892.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $44.31 / $45.08	Professional		$43.65	$44.31	$45.08
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 $65.80 / $100.27 / $281.07	Professional		$65.80	$100.27	$281.07