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 $218.78 / $398.11 / $588.84	Professional		$218.78	$398.11	$588.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,023.29 / $151,356.12	Professional		$776.25	$1,023.29	$151,356.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $85.11 / $100.00	Facility		$52.48	$85.11	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $338.84 / $676.08	Professional		$234.42	$338.84	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $467.74 / $851.14	Professional		$338.84	$467.74	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $316.23 / $1,479.11	Professional		$263.03	$316.23	$1,479.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $4,677.35	Facility		$54.95	$56.23	$4,677.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,677.35 / $4,677.35	Professional		$3,715.35	$4,677.35	$4,677.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $380.19 / $588.84	Facility		$288.40	$380.19	$588.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $446.68 / $977.24	Professional		$323.59	$446.68	$977.24
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 $223.87 / $316.23 / $724.44	Professional		$223.87	$316.23	$724.44