Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $10,471.29 / $22,908.68	Facility		$4,897.79	$10,471.29	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $512.86 / $6,309.57	Professional		$436.52	$512.86	$6,309.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $4,168.69	Professional		$954.99	$1,258.93	$4,168.69
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 $416.87 / $588.84 / $1,071.52	Professional		$416.87	$588.84	$1,071.52
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 $489.78 / $660.69 / $1,288.25	Professional		$489.78	$660.69	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $512.86 / $9,772.37	Professional		$467.74	$512.86	$9,772.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $5,011.87	Facility		$54.95	$56.23	$5,011.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,888.44	Professional		$5,011.87	$5,011.87	$5,888.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $630.96 / $6,309.57	Facility		$467.74	$630.96	$6,309.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $616.60 / $1,096.48	Professional		$457.09	$616.60	$1,096.48
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 $371.54 / $512.86 / $954.99	Professional		$371.54	$512.86	$954.99