Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $6,025.60 / $16,595.87	Facility		$1,778.28	$6,025.60	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $354.81 / $4,570.88	Professional		$162.18	$354.81	$4,570.88
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 / $2,089.30 / $6,025.60	Facility		$66.07	$2,089.30	$6,025.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $724.44 / $1,023.29	Facility		$630.96	$724.44	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
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 / $1,819.70	Facility		$54.95	$56.23	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $1,023.29	Facility		$630.96	$758.58	$1,023.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $2,511.89	Professional		$60.26	$79.43	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,168.69 / $9,549.93	Facility		$1,778.28	$4,168.69	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67