Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,264.44 / $9,690.00 / $21,960.90	Facility		$1,264.44	$9,690.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.64 / $1,264.44 / $1,264.44	Professional		$403.64	$1,264.44	$1,264.44
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 $661.62 / $828.63 / $1,548.06	Professional		$661.62	$828.63	$1,548.06
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 $237.48 / $339.26 / $827.01	Professional		$237.48	$339.26	$827.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.30 / $517.75 / $921.67	Professional		$357.30	$517.75	$921.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $361.41 / $426.46 / $2,125.00	Professional		$361.41	$426.46	$2,125.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $919.86 / $3,219.30	Facility		$55.00	$919.86	$3,219.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,305.62 / $7,231.97 / $7,231.97	Professional		$5,305.62	$7,231.97	$7,231.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $361.41 / $433.69 / $1,264.44	Facility		$361.41	$433.69	$1,264.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $332.86 / $490.29 / $912.23	Professional		$332.86	$490.29	$912.23
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 $260.87 / $378.47 / $1,176.74	Professional		$260.87	$378.47	$1,176.74