Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $791.70 / $9,690.00 / $21,960.90	Facility		$791.70	$9,690.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $791.70 / $791.70 / $791.70	Professional		$791.70	$791.70	$791.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,518.00 / $8,370.36 / $18,790.28	Facility		$3,518.00	$8,370.36	$18,790.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,038.09 / $1,310.21 / $2,428.94	Professional		$1,038.09	$1,310.21	$2,428.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $5,485.17	Facility		$63.50	$100.00	$5,485.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $854.19 / $1,230.81 / $2,863.13	Professional		$854.19	$1,230.81	$2,863.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $462.00 / $1,044.88 / $1,489.63	Professional		$462.00	$1,044.88	$1,489.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,208.00 / $5,053.00 / $12,000.00	Professional		$4,208.00	$5,053.00	$12,000.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Facility		$55.00	$55.00	$55.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,127.82 / $7,127.82 / $7,127.82	Professional		$7,127.82	$7,127.82	$7,127.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $791.70 / $1,484.00 / $2,907.00	Facility		$791.70	$1,484.00	$2,907.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $455.00 / $1,044.88 / $1,355.02	Professional		$455.00	$1,044.88	$1,355.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,732.00 / $5,067.00 / $20,279.00	Facility		$1,732.00	$5,067.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $798.88 / $1,162.14 / $3,264.09	Professional		$798.88	$1,162.14	$3,264.09