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 $974.76 / $974.76 / $2,157.17	Professional		$974.76	$974.76	$2,157.17
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 $1,805.47 / $2,403.69 / $5,318.39	Professional		$1,805.47	$2,403.69	$5,318.39
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 $1,791.88 / $2,467.33 / $4,701.12	Professional		$1,791.88	$2,467.33	$4,701.12
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 / $18,466.14 / $23,528.78	Facility		$55.00	$18,466.14	$23,528.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,916.24 / $13,445.28 / $15,477.60	Professional		$12,916.24	$13,445.28	$15,477.60
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 $1,605.32 / $2,425.05 / $4,611.10	Professional		$1,605.32	$2,425.05	$4,611.10
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 $1,245.14 / $1,846.23 / $3,788.20	Professional		$1,245.14	$1,846.23	$3,788.20