Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.78 / $9,690.00 / $21,960.90	Facility		$983.78	$9,690.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $983.78 / $983.78 / $2,273.79	Professional		$983.78	$983.78	$2,273.79
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 $2,498.65 / $3,325.14 / $7,360.60	Professional		$2,498.65	$3,325.14	$7,360.60
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 $1,918.41 / $2,705.34 / $5,044.77	Professional		$1,918.41	$2,705.34	$5,044.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,502.59 / $1,732.51 / $3,567.52	Professional		$1,502.59	$1,732.51	$3,567.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $19,964.66 / $26,471.17	Facility		$55.00	$19,964.66	$26,471.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,964.40 / $15,126.48 / $16,733.33	Professional		$13,964.40	$15,126.48	$16,733.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,406.81 / $1,926.45 / $2,514.05	Facility		$1,406.81	$1,926.45	$2,514.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,669.54 / $2,582.53 / $4,953.58	Professional		$1,669.54	$2,582.53	$4,953.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,341.70 / $1,572.60 / $1,844.83	Professional		$1,341.70	$1,572.60	$1,844.83
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 $1,343.20 / $1,925.56 / $4,162.41	Professional		$1,343.20	$1,925.56	$4,162.41