Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,585.78 / $18,197.01	Facility		$3,090.30	$7,585.78	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $851.14 / $1,258.93	Professional		$724.44	$851.14	$1,258.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $954.99 / $1,737.80	Professional		$630.96	$954.99	$1,737.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,162.28 / $9,332.54	Facility		$66.07	$3,162.28	$9,332.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $954.99 / $1,995.26	Professional		$741.31	$954.99	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $2,137.96	Professional		$794.33	$1,047.13	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,513.56 / $4,168.69	Professional		$977.24	$1,513.56	$4,168.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $45,708.82 / $45,708.82	Facility		$11,220.18	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $7,762.47 / $8,128.31	Professional		$7,762.47	$7,762.47	$8,128.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,071.52 / $1,513.56	Facility		$758.58	$1,071.52	$1,513.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $2,137.96	Professional		$776.25	$1,047.13	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $10,000.00 / $20,892.96	Facility		$5,623.41	$10,000.00	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $1,949.84	Professional		$691.83	$933.25	$1,949.84