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 / $2,557.15	Professional		$1,091.79	$1,091.79	$2,557.15
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 $3,191.84 / $4,184.97 / $8,391.93	Professional		$3,191.84	$4,184.97	$8,391.93
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 $2,030.88 / $2,864.18 / $5,353.82	Professional		$2,030.88	$2,864.18	$5,353.82
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 / $21,118.24 / $28,195.64	Facility		$55.00	$21,118.24	$28,195.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,770.96 / $16,111.76 / $17,700.08	Professional		$14,770.96	$16,111.76	$17,700.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,561.26 / $1,969.84 / $2,514.05	Facility		$1,561.26	$1,969.84	$2,514.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,669.54 / $2,734.09 / $5,199.30	Professional		$1,669.54	$2,734.09	$5,199.30
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 $1,305.04 / $1,971.63 / $4,256.10	Professional		$1,305.04	$1,971.63	$4,256.10