Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,956.72 / $7,648.00 / $18,252.00	Facility		$1,956.72	$7,648.00	$18,252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.84 / $252.14 / $315.45	Professional		$161.84	$252.14	$315.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,913.00 / $7,007.00 / $13,707.00	Facility		$2,913.00	$7,007.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.99 / $239.22 / $258.70	Professional		$211.99	$239.22	$258.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $1,735.63	Facility		$65.80	$100.00	$1,735.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $705.31 / $705.31 / $1,050.00	Facility		$705.31	$705.31	$1,050.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $393.93 / $393.93	Professional		$135.00	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,683.43 / $2,059.75 / $2,116.31	Facility		$1,683.43	$2,059.75	$2,116.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,408.45 / $1,432.13 / $2,217.08	Professional		$1,408.45	$1,432.13	$2,217.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $271.12 / $333.55 / $433.50	Facility		$271.12	$333.55	$433.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $262.25 / $262.25 / $271.70	Professional		$262.25	$262.25	$271.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,836.00 / $5,067.00 / $17,075.00	Facility		$1,836.00	$5,067.00	$17,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $218.68 / $285.30 / $659.51	Professional		$218.68	$285.30	$659.51