Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,545.00 / $17,538.00	Facility		$1,208.95	$5,545.00	$17,538.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.79 / $376.55 / $414.13	Professional		$312.79	$376.55	$414.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.60 / $5,551.00 / $12,466.00	Facility		$450.60	$5,551.00	$12,466.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $394.91 / $517.32 / $1,074.22	Professional		$394.91	$517.32	$1,074.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,455.40	Facility		$63.90	$100.00	$5,455.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $194.82 / $278.32 / $572.00	Professional		$194.82	$278.32	$572.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.51 / $457.75 / $1,003.67	Professional		$308.51	$457.75	$1,003.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $1,567.00 / $4,881.00	Professional		$638.07	$1,567.00	$4,881.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,393.95 / $3,633.00	Facility		$55.00	$1,393.95	$3,633.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,347.25 / $4,017.65 / $4,150.24	Professional		$3,347.25	$4,017.65	$4,150.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $330.30 / $492.54 / $609.09	Facility		$330.30	$492.54	$609.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $304.91 / $451.96 / $982.17	Professional		$304.91	$451.96	$982.17
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $7,935.00	Facility		$587.00	$1,551.00	$7,935.00
United Facility/Professional Professional Modifier Low / Median / High Price $304.56 / $406.08 / $882.03	Professional		$304.56	$406.08	$882.03