Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $719.28 / $9,690.00 / $21,960.90	Facility		$719.28	$9,690.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.00 / $719.28 / $719.28	Professional		$169.00	$719.28	$719.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,309.00 / $15,328.00	Facility		$2,629.00	$7,309.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $756.14 / $947.01 / $1,732.65	Professional		$756.14	$947.01	$1,732.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $98.70 / $13,719.51	Facility		$63.50	$98.70	$13,719.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $197.27 / $281.82 / $686.99	Professional		$197.27	$281.82	$686.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.80 / $420.72 / $754.32	Professional		$290.80	$420.72	$754.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $300.22 / $354.26 / $2,274.00	Professional		$300.22	$354.26	$2,274.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $716.29 / $4,884.30	Facility		$55.00	$716.29	$4,884.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,680.00 / $13,680.00 / $13,680.00	Professional		$13,680.00	$13,680.00	$13,680.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $300.22 / $360.26 / $480.35	Facility		$300.22	$360.26	$480.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $272.42 / $398.35 / $742.72	Professional		$272.42	$398.35	$742.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,159.00 / $20,279.00	Facility		$2,009.00	$5,159.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $218.40 / $313.02 / $876.92	Professional		$218.40	$313.02	$876.92