Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,471.29 / $22,908.68	Facility		$4,466.84	$10,471.29	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $229.09 / $549.54	Professional		$177.83	$229.09	$549.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $7,943.28 / $15,848.93	Facility		$4,570.88	$7,943.28	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $380.19 / $162,181.01	Professional		$281.84	$380.19	$162,181.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $85.11 / $100.00	Facility		$52.48	$85.11	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $478.63	Professional		$173.78	$251.19	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $281.84 / $501.19	Professional		$199.53	$281.84	$501.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $245.47 / $1,174.90	Professional		$190.55	$245.47	$1,174.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,691.53	Facility		$54.95	$56.23	$2,691.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $5,370.32	Professional		$3,467.37	$3,467.37	$5,370.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $257.04 / $549.54	Facility		$213.80	$257.04	$549.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $269.15 / $501.19	Professional		$208.93	$269.15	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $6,165.95 / $18,620.87	Facility		$1,995.26	$6,165.95	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $208.93 / $524.81	Professional		$147.91	$208.93	$524.81