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 $1,096.48 / $2,041.74 / $2,691.53	Professional		$1,096.48	$2,041.74	$2,691.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $16,218.10 / $28,840.32	Facility		$11,220.18	$16,218.10	$28,840.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,168.69 / $151,356.12	Professional		$2,951.21	$4,168.69	$151,356.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $1,862.09	Facility		$61.66	$100.00	$1,862.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $2,951.21	Professional		$1,047.13	$1,479.11	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,570.40 / $4,897.79	Professional		$1,905.46	$2,570.40	$4,897.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,819.70 / $3,890.45	Professional		$1,479.11	$1,819.70	$3,890.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $22,387.21	Facility		$54.95	$56.23	$22,387.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,882.50 / $16,218.10 / $16,218.10	Professional		$12,882.50	$16,218.10	$16,218.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Professional		$2,818.38	$2,818.38	$2,818.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $2,754.23	Facility		$1,548.82	$2,089.30	$2,754.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,454.71 / $5,495.41	Professional		$1,737.80	$2,454.71	$5,495.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,584.89 / $1,905.46	Professional		$1,380.38	$1,584.89	$1,905.46
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 $1,380.38 / $1,995.26 / $4,265.80	Professional		$1,380.38	$1,995.26	$4,265.80