Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,587.51 / $6,695.00 / $17,393.00	Facility		$1,587.51	$6,695.00	$17,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $983.36 / $1,110.08 / $1,432.16	Professional		$983.36	$1,110.08	$1,432.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $5,944.00 / $13,697.00	Facility		$2,160.00	$5,944.00	$13,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $979.38 / $1,188.56 / $2,404.48	Professional		$979.38	$1,188.56	$2,404.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,908.14	Facility		$66.00	$100.00	$7,908.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $637.76 / $911.08 / $2,030.07	Professional		$637.76	$911.08	$2,030.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,108.33 / $1,435.97 / $3,119.71	Professional		$1,108.33	$1,435.97	$3,119.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,619.00 / $6,038.00 / $13,306.00	Professional		$1,619.00	$6,038.00	$13,306.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,024.32 / $11,500.00 / $26,542.00	Facility		$7,024.32	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,704.82 / $10,791.15 / $11,133.01	Professional		$10,704.82	$10,791.15	$11,133.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,007.95 / $1,530.00 / $2,051.01	Facility		$1,007.95	$1,530.00	$2,051.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,108.33 / $1,416.78 / $3,153.03	Professional		$1,108.33	$1,416.78	$3,153.03
United Facility/Professional Facility Modifier Low / Median / High Price $5,670.00 / $9,908.00 / $21,278.00	Facility		$5,670.00	$9,908.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $949.52 / $1,287.79 / $2,993.73	Professional		$949.52	$1,287.79	$2,993.73