Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,471.29 / $22,908.68	Facility		$4,466.84	$10,471.29	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,481.54 / $17,782.79	Facility		$6,456.54	$11,481.54	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $2,630.27	Professional		$1,023.29	$1,288.25	$2,630.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $8,128.31	Facility		$60.26	$100.00	$8,128.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,698.24 / $3,235.94	Professional		$1,230.27	$1,698.24	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $457.09 / $1,148.15	Professional		$338.84	$457.09	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $7,585.78 / $19,952.62	Professional		$1,698.24	$7,585.78	$19,952.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $56.23	Facility		$54.95	$56.23	$56.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Professional		$7,244.36	$7,244.36	$7,244.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $933.25 / $5,011.87	Facility		$831.76	$933.25	$5,011.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $457.09 / $1,148.15	Professional		$79.43	$457.09	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $6,165.95 / $18,620.87	Facility		$1,995.26	$6,165.95	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69