Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,471.77 / $9,006.00 / $19,368.00	Facility		$2,471.77	$9,006.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,076.46 / $2,344.08 / $3,097.27	Professional		$2,076.46	$2,344.08	$3,097.27
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 $2,067.50 / $2,557.16 / $5,076.95	Professional		$2,067.50	$2,557.16	$5,076.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,012.46	Facility		$66.00	$100.00	$11,012.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,633.45 / $2,333.50 / $5,230.20	Professional		$1,633.45	$2,333.50	$5,230.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,339.63 / $3,062.05 / $6,657.77	Professional		$2,339.63	$3,062.05	$6,657.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,619.00 / $7,441.00 / $16,398.00	Professional		$1,619.00	$7,441.00	$16,398.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $14,829.06 / $18,605.88 / $26,542.00	Facility		$14,829.06	$18,605.88	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $22,595.87 / $22,785.23 / $23,499.70	Professional		$22,595.87	$22,785.23	$23,499.70
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 $2,216.98 / $3,290.90 / $4,456.53	Facility		$2,216.98	$3,290.90	$4,456.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,339.63 / $3,031.27 / $6,952.98	Professional		$2,339.63	$3,031.27	$6,952.98
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 $2,042.82 / $2,746.32 / $5,915.24	Professional		$2,042.82	$2,746.32	$5,915.24