Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,228.67 / $9,690.00 / $21,960.90	Facility		$3,228.67	$9,690.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.92 / $3,228.67 / $3,228.67	Professional		$449.92	$3,228.67	$3,228.67
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 $734.78 / $920.26 / $1,768.75	Professional		$734.78	$920.26	$1,768.75
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 $269.58 / $385.12 / $773.32	Professional		$269.58	$385.12	$773.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.54 / $580.45 / $1,020.47	Professional		$412.54	$580.45	$1,020.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $451.29 / $1,046.16	Professional		$393.93	$451.29	$1,046.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,035.47 / $2,109.33	Facility		$55.00	$1,035.47	$2,109.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,790.35 / $7,231.97 / $7,231.97	Professional		$6,790.35	$7,231.97	$7,231.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $410.26 / $512.83 / $3,228.67	Facility		$410.26	$512.83	$3,228.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $410.26 / $568.11 / $1,051.77	Professional		$410.26	$568.11	$1,051.77
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
United Facility/Professional Professional Modifier Low / Median / High Price $318.07 / $449.69 / $1,024.60	Professional		$318.07	$449.69	$1,024.60