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 $363.08 / $363.08 / $478.63	Professional		$363.08	$363.08	$478.63
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 $120.23 / $204.17 / $1,174.90	Professional		$120.23	$204.17	$1,174.90
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 $218.78 / $295.12 / $645.65	Professional		$218.78	$295.12	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $346.74 / $7,079.46	Professional		$331.13	$346.74	$7,079.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,344.23 / $6,606.93	Professional		$1,548.82	$2,344.23	$6,606.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $45,708.82 / $45,708.82 / $45,708.82	Facility		$45,708.82	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,344.23 / $2,344.23	Professional		$2,041.74	$2,344.23	$2,344.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $524.81	Facility		$371.54	$371.54	$524.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $331.13 / $7,079.46	Professional		$70.79	$331.13	$7,079.46
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 $416.87 / $512.86 / $724.44	Professional		$416.87	$512.86	$724.44