Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,121.31 / $9,690.00 / $21,960.90	Facility		$1,121.31	$9,690.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,121.31 / $1,121.31 / $2,764.11	Professional		$1,121.31	$1,121.31	$2,764.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,460.47 / $14,273.00 / $29,600.00	Facility		$4,460.47	$14,273.00	$29,600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,885.02 / $5,076.52 / $9,865.31	Professional		$3,885.02	$5,076.52	$9,865.31
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 $2,173.79 / $3,065.76 / $5,737.52	Professional		$2,173.79	$3,065.76	$5,737.52
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 / $21,416.01 / $30,269.69	Facility		$55.00	$21,416.01	$30,269.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,800.40 / $17,297.04 / $18,932.93	Professional		$15,800.40	$17,297.04	$18,932.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,603.47 / $2,045.60 / $2,610.75	Facility		$1,603.47	$2,045.60	$2,610.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,733.74 / $2,926.50 / $5,540.10	Professional		$1,733.74	$2,926.50	$5,540.10
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 $1,397.29 / $2,055.92 / $4,058.29	Professional		$1,397.29	$2,055.92	$4,058.29