Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $548.57 / $9,690.00 / $21,960.90	Facility		$548.57	$9,690.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.58 / $548.57 / $548.57	Professional		$186.58	$548.57	$548.57
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 / $377.10 / $727.72	Professional		$288.77	$377.10	$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 $194.36 / $286.37 / $538.16	Professional		$194.36	$286.37	$538.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.18 / $250.37 / $1,112.00	Professional		$212.18	$250.37	$1,112.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $499.08 / $1,572.30	Facility		$55.00	$499.08	$1,572.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,444.00 / $5,262.26 / $5,406.44	Professional		$3,444.00	$5,262.26	$5,406.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $212.18 / $254.62 / $548.57	Facility		$212.18	$254.62	$548.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $207.20 / $279.57 / $512.79	Professional		$207.20	$279.57	$512.79
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 $146.78 / $213.79 / $619.74	Professional		$146.78	$213.79	$619.74