Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,211.30 / $6,695.00 / $17,393.00	Facility		$2,211.30	$6,695.00	$17,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,857.70 / $2,097.11 / $2,704.62	Professional		$1,857.70	$2,097.11	$2,704.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,696.00 / $7,166.00 / $15,328.00	Facility		$2,696.00	$7,166.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,849.84 / $2,491.12 / $4,661.60	Professional		$1,849.84	$2,491.12	$4,661.60
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 $1,474.14 / $2,105.91 / $4,692.39	Professional		$1,474.14	$2,105.91	$4,692.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,093.17 / $2,739.26 / $5,891.57	Professional		$2,093.17	$2,739.26	$5,891.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,619.00 / $7,525.00 / $16,583.00	Professional		$1,619.00	$7,525.00	$16,583.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $13,268.16 / $16,650.12 / $26,542.00	Facility		$13,268.16	$16,650.12	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20,218.62 / $20,387.09 / $21,027.36	Professional		$20,218.62	$20,387.09	$21,027.36
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 $2,018.39 / $2,944.48 / $3,987.39	Facility		$2,018.39	$2,944.48	$3,987.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,093.17 / $2,712.14 / $5,955.94	Professional		$2,093.17	$2,712.14	$5,955.94
United Facility/Professional Facility Modifier Low / Median / High Price $5,679.00 / $9,810.00 / $21,278.00	Facility		$5,679.00	$9,810.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,812.63 / $2,363.34 / $5,292.45	Professional		$1,812.63	$2,363.34	$5,292.45