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 / $23,988.33	Facility		$4,466.84	$10,471.29	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $891.25 / $6,025.60	Professional		$234.42	$891.25	$6,025.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
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 / $831.76 / $5,754.40	Facility		$66.07	$831.76	$5,754.40
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 $616.60 / $724.44 / $1,023.29	Facility		$616.60	$724.44	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $501.19	Professional		$407.38	$407.38	$501.19
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 / $2,818.38	Facility		$54.95	$56.23	$2,818.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $630.96 / $1,023.29	Facility		$501.19	$630.96	$1,023.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $501.19	Professional		$60.26	$79.43	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,754.23 / $7,585.78	Facility		$1,047.13	$2,754.23	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67