Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,875.00 / $9,690.00 / $21,960.90	Facility		$1,875.00	$9,690.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,875.00 / $1,875.00 / $1,915.28	Professional		$1,875.00	$1,875.00	$1,915.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,403.00 / $9,644.00 / $19,252.00	Facility		$3,403.00	$9,644.00	$19,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $683.35 / $1,016.77 / $1,877.99	Professional		$683.35	$1,016.77	$1,877.99
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 $1,356.10 / $1,937.28 / $3,890.06	Professional		$1,356.10	$1,937.28	$3,890.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,140.65 / $1,786.99 / $2,577.23	Professional		$1,140.65	$1,786.99	$2,577.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $4,800.00 / $17,033.14	Professional		$393.93	$4,800.00	$17,033.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Facility		$55.00	$55.00	$55.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,402.93 / $11,402.93 / $11,779.22	Professional		$11,402.93	$11,402.93	$11,779.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,875.00 / $2,362.50 / $4,200.00	Facility		$1,875.00	$2,362.50	$4,200.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,319.00 / $20,279.00	Facility		$2,047.00	$5,319.00	$20,279.00