Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $10,715.19 / $22,387.21	Facility		$4,677.35	$10,715.19	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,467.37 / $11,220.18	Professional		$2,398.83	$3,467.37	$11,220.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $7,943.28 / $13,803.84	Facility		$3,311.31	$7,943.28	$13,803.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,370.32 / $14,791.08	Facility		$66.07	$5,370.32	$14,791.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $13,489.63 / $14,791.08	Facility		$11,748.98	$13,489.63	$14,791.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $398.11 / $1,698.24	Professional		$141.25	$398.11	$1,698.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $10,232.93 / $10,232.93	Facility		$2,818.38	$10,232.93	$10,232.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $13,182.57 / $13,489.63 / $14,791.08	Facility		$13,182.57	$13,489.63	$14,791.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $12,302.69 / $25,703.96	Facility		$6,760.83	$12,302.69	$25,703.96