Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $9,120.11 / $22,387.21	Facility		$3,715.35	$9,120.11	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $257.04 / $616.60	Professional		$181.97	$257.04	$616.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $251.19 / $457.09	Professional		$218.78	$251.19	$457.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $100.00 / $1,949.84	Facility		$58.88	$100.00	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $1,047.13	Facility		$707.95	$707.95	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $134.90 / $398.11	Professional		$128.82	$134.90	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Facility		$2,041.74	$2,041.74	$2,041.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,238.72 / $2,238.72	Professional		$1,412.54	$2,238.72	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $331.13 / $446.68	Facility		$257.04	$331.13	$446.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $275.42	Professional		$269.15	$269.15	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $6,025.60 / $18,620.87	Facility		$1,905.46	$6,025.60	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $288.40 / $575.44	Professional		$218.78	$288.40	$575.44