Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $10,000.00 / $23,442.29	Facility		$3,981.07	$10,000.00	$23,442.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $1,819.70 / $7,413.10	Professional		$251.19	$1,819.70	$7,413.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $7,943.28 / $13,803.84	Facility		$3,311.31	$7,943.28	$13,803.84
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 / $5,495.41 / $14,791.08	Facility		$66.07	$5,495.41	$14,791.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,023.29 / $13,489.63	Facility		$630.96	$1,023.29	$13,489.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Professional		$2,187.76	$2,187.76	$2,187.76
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 / $10,232.93 / $10,232.93	Facility		$2,818.38	$10,232.93	$10,232.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,630.78 / $3,630.78	Professional		$2,754.23	$3,630.78	$3,630.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
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 / $2,187.76	Professional		$60.26	$79.43	$2,187.76
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