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 $489.78 / $691.83 / $1,122.02	Professional		$489.78	$691.83	$1,122.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,220.18 / $17,782.79	Facility		$6,456.54	$11,220.18	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $2,818.38	Professional		$812.83	$1,096.48	$2,818.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $85.11 / $100.00	Facility		$52.48	$85.11	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $758.58 / $1,348.96	Professional		$537.03	$758.58	$1,348.96
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 $512.86 / $891.25 / $1,737.80	Professional		$512.86	$891.25	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $676.08 / $3,019.95	Professional		$575.44	$676.08	$3,019.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $6,309.57	Facility		$54.95	$56.23	$6,309.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $6,456.54 / $6,456.54	Professional		$5,011.87	$6,456.54	$6,456.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $794.33 / $1,348.96	Facility		$562.34	$794.33	$1,348.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $831.76 / $1,479.11	Professional		$457.09	$831.76	$1,479.11
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 $501.19 / $758.58 / $1,513.56	Professional		$501.19	$758.58	$1,513.56