Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,376.18 / $9,690.00 / $21,960.90	Facility		$1,376.18	$9,690.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.09 / $1,376.18 / $1,431.77	Professional		$106.09	$1,376.18	$1,431.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,028.00 / $15,328.00	Facility		$2,629.00	$7,028.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.77 / $377.32 / $727.72	Professional		$288.77	$377.32	$727.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $98.70 / $13,719.51	Facility		$63.50	$98.70	$13,719.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $134.25 / $191.79 / $421.94	Professional		$134.25	$191.79	$421.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.42 / $310.44 / $559.62	Professional		$213.42	$310.44	$559.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.18 / $250.37 / $653.00	Professional		$212.18	$250.37	$653.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $504.14 / $1,394.10	Facility		$55.00	$504.14	$1,394.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,214.40 / $5,262.26 / $5,406.44	Professional		$3,214.40	$5,262.26	$5,406.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $212.18 / $254.62 / $1,376.18	Facility		$212.18	$254.62	$1,376.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $212.18 / $299.95 / $546.26	Professional		$212.18	$299.95	$546.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,159.00 / $20,279.00	Facility		$2,009.00	$5,159.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $153.96 / $241.94 / $690.85	Professional		$153.96	$241.94	$690.85