Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $6,025.60 / $16,595.87	Facility		$1,584.89	$6,025.60	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,778.28 / $6,025.60	Professional		$467.74	$1,778.28	$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
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $169.82 / $6,025.60	Facility		$66.07	$169.82	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $87.10	Professional		$44.67	$60.26	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $707.95 / $891.25	Facility		$616.60	$707.95	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $281.84 / $831.76	Professional		$128.82	$281.84	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,089.30	Facility		$54.95	$56.23	$2,089.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $630.96 / $891.25	Facility		$467.74	$630.96	$891.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $724.44	Professional		$60.26	$79.43	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,479.11 / $6,025.60	Facility		$416.87	$1,479.11	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67