Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,471.29 / $22,908.68	Facility		$4,466.84	$10,471.29	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $3,467.37	Professional		$1,905.46	$2,238.72	$3,467.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $8,317.64 / $15,848.93	Facility		$4,677.35	$8,317.64	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $6,025.60 / $14,125.38	Professional		$3,801.89	$6,025.60	$14,125.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $6,025.60	Facility		$60.26	$100.00	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,090.30 / $5,495.41	Professional		$2,187.76	$3,090.30	$5,495.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $724.44 / $1,023.29	Facility		$616.60	$724.44	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $2,630.27 / $5,370.32	Professional		$467.74	$2,630.27	$5,370.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $8,709.64	Professional		$2,137.96	$2,570.40	$8,709.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $35,481.34	Facility		$54.95	$56.23	$35,481.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,125.38 / $17,782.79 / $17,782.79	Professional		$14,125.38	$17,782.79	$17,782.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,884.03 / $4,570.88	Facility		$1,862.09	$2,884.03	$4,570.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $2,454.71 / $4,365.16	Professional		$389.05	$2,454.71	$4,365.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,344.23 / $2,884.03	Professional		$2,089.30	$2,344.23	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,495.41 / $17,378.01	Facility		$1,584.89	$5,495.41	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,290.87 / $4,570.88	Professional		$1,584.89	$2,290.87	$4,570.88