Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $10,232.93 / $21,379.62	Facility		$4,168.69	$10,232.93	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,454.71 / $3,715.35	Professional		$2,137.96	$2,454.71	$3,715.35
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 $1,230.27 / $2,691.53 / $5,623.41	Professional		$1,230.27	$2,691.53	$5,623.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,162.28 / $12,302.69	Facility		$66.07	$3,162.28	$12,302.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,818.38 / $5,888.44	Professional		$2,137.96	$2,818.38	$5,888.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,019.95 / $6,309.57	Professional		$2,344.23	$3,019.95	$6,309.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $8,128.31 / $22,908.68	Professional		$1,698.24	$8,128.31	$22,908.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $18,197.01 / $42,657.95 / $42,657.95	Facility		$18,197.01	$42,657.95	$42,657.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $22,908.68 / $22,908.68 / $23,442.29	Professional		$22,908.68	$22,908.68	$23,442.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,235.94 / $4,570.88	Facility		$2,238.72	$3,235.94	$4,570.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,019.95 / $6,309.57	Professional		$2,238.72	$3,019.95	$6,309.57
United Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $10,000.00 / $21,379.62	Facility		$5,623.41	$10,000.00	$21,379.62
United Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,754.23 / $5,754.40	Professional		$2,041.74	$2,754.23	$5,754.40