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 $1,230.27 / $1,862.09 / $2,818.38	Professional		$1,230.27	$1,862.09	$2,818.38
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 $2,511.89 / $3,311.31 / $5,623.41	Professional		$2,511.89	$3,311.31	$5,623.41
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 $1,737.80 / $2,454.71 / $4,570.88	Professional		$1,737.80	$2,454.71	$4,570.88
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 / $10,471.29	Facility		$54.95	$56.23	$10,471.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,302.69 / $13,489.63 / $13,489.63	Professional		$12,302.69	$13,489.63	$13,489.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,187.76 / $2,951.21	Facility		$1,737.80	$2,187.76	$2,951.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,398.83 / $5,011.87	Professional		$1,737.80	$2,398.83	$5,011.87
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 $1,122.02 / $1,698.24 / $4,265.80	Professional		$1,122.02	$1,698.24	$4,265.80