Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,117.19 / $9,690.00 / $21,960.90	Facility		$1,117.19	$9,690.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,117.19 / $1,117.19 / $2,329.00	Professional		$1,117.19	$1,117.19	$2,329.00
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 $3,459.11 / $4,520.01 / $9,094.70	Professional		$3,459.11	$4,520.01	$9,094.70
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 $2,031.35 / $2,804.74 / $5,372.45	Professional		$2,031.35	$2,804.74	$5,372.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,733.74 / $1,999.05 / $4,116.37	Professional		$1,733.74	$1,999.05	$4,116.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $20,444.93 / $25,686.98	Facility		$55.00	$20,444.93	$25,686.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,300.48 / $14,678.00 / $18,059.40	Professional		$14,300.48	$14,678.00	$18,059.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,597.58 / $2,181.96 / $2,900.83	Facility		$1,597.58	$2,181.96	$2,900.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,926.38 / $2,693.57 / $5,372.45	Professional		$1,926.38	$2,693.57	$5,372.45
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,548.10 / $1,814.54 / $2,128.64	Professional		$1,548.10	$1,814.54	$2,128.64
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 $1,483.79 / $2,166.62 / $4,802.78	Professional		$1,483.79	$2,166.62	$4,802.78