Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,091.79 / $9,690.00 / $21,960.90	Facility		$1,091.79	$9,690.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,091.79 / $1,091.79 / $2,096.13	Professional		$1,091.79	$1,091.79	$2,096.13
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 $2,851.12 / $3,725.54 / $7,496.14	Professional		$2,851.12	$3,725.54	$7,496.14
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 $1,835.14 / $2,533.84 / $4,850.87	Professional		$1,835.14	$2,533.84	$4,850.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,560.37 / $1,799.15 / $3,704.72	Professional		$1,560.37	$1,799.15	$3,704.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $18,395.08 / $23,213.08	Facility		$55.00	$18,395.08	$23,213.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,866.32 / $13,264.64 / $16,254.15	Professional		$12,866.32	$13,264.64	$16,254.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,561.26 / $1,963.78 / $2,610.75	Facility		$1,561.26	$1,963.78	$2,610.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,733.74 / $2,434.17 / $4,850.87	Professional		$1,733.74	$2,434.17	$4,850.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,393.30 / $1,633.09 / $1,915.78	Professional		$1,393.30	$1,633.09	$1,915.78
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 $1,392.32 / $2,042.08 / $4,322.47	Professional		$1,392.32	$2,042.08	$4,322.47