Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $8,912.51 / $21,877.62	Facility		$3,467.37	$8,912.51	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $3,235.94 / $7,413.10	Professional		$1,148.15	$3,235.94	$7,413.10
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 / $3,801.89 / $10,715.19	Facility		$66.07	$3,801.89	$10,715.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $87.10	Professional		$44.67	$60.26	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $8,317.64 / $14,791.08	Facility		$630.96	$8,317.64	$14,791.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46
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 $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $776.25 / $14,791.08	Facility		$630.96	$776.25	$14,791.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $1,905.46	Professional		$60.26	$79.43	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $11,748.98 / $25,118.86	Facility		$5,248.07	$11,748.98	$25,118.86
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67