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 $2,754.23 / $3,311.31 / $4,466.84	Professional		$2,754.23	$3,311.31	$4,466.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $16,982.44 / $28,840.32	Facility		$11,220.18	$16,982.44	$28,840.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $6,606.93 / $10,471.29	Professional		$4,897.79	$6,606.93	$10,471.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $6,025.60	Facility		$60.26	$100.00	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,630.78 / $7,079.46	Professional		$2,754.23	$3,630.78	$7,079.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,698.24 / $16,982.44	Professional		$398.11	$1,698.24	$16,982.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $63,095.73	Facility		$54.95	$56.23	$63,095.73
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,620.87 / $25,118.86 / $25,118.86	Professional		$18,620.87	$25,118.86	$25,118.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,467.37 / $5,011.87	Facility		$2,884.03	$3,467.37	$5,011.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,467.37 / $7,762.47	Professional		$2,630.27	$3,467.37	$7,762.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $6,165.95 / $18,620.87	Facility		$2,041.74	$6,165.95	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,884.03 / $7,244.36	Professional		$2,041.74	$2,884.03	$7,244.36