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 / $1,875.00	Professional		$1,875.00	$1,875.00	$1,875.00
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 $598.17 / $911.32 / $1,643.90	Professional		$598.17	$911.32	$1,643.90
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 $915.60 / $1,308.00 / $2,626.46	Professional		$915.60	$1,308.00	$2,626.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,140.65 / $1,563.83 / $2,255.39	Professional		$1,140.65	$1,563.83	$2,255.39
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 $10,994.50 / $10,994.50 / $10,994.50	Professional		$10,994.50	$10,994.50	$10,994.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,875.00 / $2,205.00 / $4,200.00	Facility		$1,875.00	$2,205.00	$4,200.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,940.00 / $6,426.00 / $18,709.00	Facility		$1,940.00	$6,426.00	$18,709.00