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 $331.13 / $389.05 / $741.31	Professional		$331.13	$389.05	$741.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,317.64 / $15,848.93	Facility		$4,570.88	$8,317.64	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $1,096.48	Professional		$524.81	$758.58	$1,096.48
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 $323.59 / $457.09 / $812.83	Professional		$323.59	$457.09	$812.83
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 $354.81 / $478.63 / $870.96	Professional		$354.81	$478.63	$870.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $389.05 / $4,570.88	Professional		$346.74	$389.05	$4,570.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,630.27	Facility		$54.95	$56.23	$2,630.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $467.74 / $741.31	Facility		$354.81	$467.74	$741.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $446.68 / $812.83	Professional		$346.74	$446.68	$812.83
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 $281.84 / $380.19 / $724.44	Professional		$281.84	$380.19	$724.44