Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $10,715.19 / $23,442.29	Facility		$4,897.79	$10,715.19	$23,442.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $3,235.94 / $12,882.50	Professional		$724.44	$3,235.94	$12,882.50
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 / $741.31 / $5,888.44	Facility		$66.07	$741.31	$5,888.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $724.44 / $977.24	Facility		$630.96	$724.44	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $398.11 / $30,199.52	Professional		$128.82	$398.11	$30,199.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,238.72	Facility		$54.95	$56.23	$2,238.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Professional		$5,754.40	$5,754.40	$5,754.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $977.24	Facility		$630.96	$758.58	$977.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $1,000.00	Professional		$60.26	$79.43	$1,000.00
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