Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,146.30 / $7,146.30 / $7,146.30	Facility		$7,146.30	$7,146.30	$7,146.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.58 / $108.73 / $381.67	Professional		$78.58	$108.73	$381.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,900.00 / $7,362.00 / $16,461.00	Facility		$3,900.00	$7,362.00	$16,461.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.64 / $168.29 / $23,726.26	Professional		$93.64	$168.29	$23,726.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $298.60 / $2,148.07 / $3,009.39	Facility		$298.60	$2,148.07	$3,009.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $71.76 / $100.00 / $138.58	Professional		$71.76	$100.00	$138.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.88 / $134.03 / $314.49	Professional		$79.88	$134.03	$314.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.27 / $113.47 / $203.04	Professional		$69.27	$113.47	$203.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $323.95 / $347.04 / $347.04	Facility		$323.95	$347.04	$347.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $521.12 / $589.58 / $943.13	Professional		$521.12	$589.58	$943.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.12 / $110.83 / $181.55	Facility		$83.12	$110.83	$181.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.23 / $155.47 / $309.70	Professional		$85.23	$155.47	$309.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $62.95 / $86.56 / $150.38	Professional		$62.95	$86.56	$150.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,527.00 / $2,527.00 / $16,172.00	Facility		$2,527.00	$2,527.00	$16,172.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.74 / $131.41 / $333.71	Professional		$91.74	$131.41	$333.71