Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,061.13 / $9,697.00 / $21,960.90	Facility		$1,061.13	$9,697.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,061.13 / $1,061.13 / $1,841.46	Professional		$1,061.13	$1,061.13	$1,841.46
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 $2,243.12 / $2,940.28 / $5,897.57	Professional		$2,243.12	$2,940.28	$5,897.57
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 $1,672.86 / $2,309.71 / $4,422.05	Professional		$1,672.86	$2,309.71	$4,422.05
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 / $16,815.48 / $21,152.23	Facility		$55.00	$16,815.48	$21,152.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,760.96 / $12,087.04 / $14,091.00	Professional		$11,760.96	$12,087.04	$14,091.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,510.85 / $1,818.31 / $2,417.36	Facility		$1,510.85	$1,818.31	$2,417.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,597.04 / $2,218.10 / $4,422.05	Professional		$1,597.04	$2,218.10	$4,422.05
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 $1,940.00 / $6,426.00 / $18,709.00	Facility		$1,940.00	$6,426.00	$18,709.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,295.67 / $1,858.62 / $4,002.31	Professional		$1,295.67	$1,858.62	$4,002.31