Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $974.76 / $9,690.00 / $21,960.90	Facility		$974.76	$9,690.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.69 / $974.76 / $1,493.43	Professional		$243.69	$974.76	$1,493.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,204.00 / $14,273.00 / $29,600.00	Facility		$4,204.00	$14,273.00	$29,600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,635.11 / $2,176.51 / $4,817.12	Professional		$1,635.11	$2,176.51	$4,817.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $1,693.95	Facility		$63.50	$100.00	$1,693.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $812.72 / $1,161.03 / $2,331.35	Professional		$812.72	$1,161.03	$2,331.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,566.97 / $2,109.46 / $3,866.11	Professional		$1,566.97	$2,109.46	$3,866.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,444.79 / $1,665.86 / $3,430.30	Professional		$1,444.79	$1,665.86	$3,430.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $15,354.13 / $19,320.62	Facility		$55.00	$15,354.13	$19,320.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,738.96 / $11,040.16 / $12,866.40	Professional		$10,738.96	$11,040.16	$12,866.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,393.91 / $1,818.31 / $2,417.36	Facility		$1,393.91	$1,818.31	$2,417.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,514.42 / $2,026.01 / $4,032.85	Professional		$1,514.42	$2,026.01	$4,032.85
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,290.09 / $1,512.12 / $1,773.88	Professional		$1,290.09	$1,512.12	$1,773.88
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 $1,173.07 / $1,777.52 / $4,688.99	Professional		$1,173.07	$1,777.52	$4,688.99