Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,429.00 / $10,616.00 / $22,788.00	Facility		$4,429.00	$10,616.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,904.80 / $3,024.82 / $13,854.58	Professional		$2,904.80	$3,024.82	$13,854.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,645.00 / $6,017.00 / $19,951.00	Facility		$3,645.00	$6,017.00	$19,951.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12,338.00 / $12,338.00 / $26,158.00	Professional		$12,338.00	$12,338.00	$26,158.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $5,349.65	Facility		$65.80	$100.00	$5,349.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $4,800.00 / $4,800.00	Professional		$393.93	$4,800.00	$4,800.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Facility		$55.00	$55.00	$55.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,407.00 / $2,753.00 / $7,940.00	Facility		$1,407.00	$2,753.00	$7,940.00