Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,715.19 / $22,908.68	Facility		$4,466.84	$10,715.19	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $6,025.60	Professional		$2,511.89	$2,511.89	$6,025.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $6,760.83 / $17,782.79	Facility		$1,548.82	$6,760.83	$17,782.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $169.82 / $7,762.47	Facility		$66.07	$169.82	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Professional		$4,168.69	$4,168.69	$4,168.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $398.11 / $1,698.24	Professional		$120.23	$398.11	$1,698.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $56.23	Facility		$54.95	$56.23	$56.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $4,168.69	Professional		$70.79	$70.79	$4,168.69
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,456.54	Facility		$588.84	$1,584.89	$6,456.54