Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,404.00 / $6,857.00 / $17,902.00	Facility		$2,404.00	$6,857.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.50 / $1,600.00 / $4,195.20	Professional		$312.50	$1,600.00	$4,195.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,645.00 / $6,017.00 / $19,951.00	Facility		$3,645.00	$6,017.00	$19,951.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12,648.00 / $12,648.00 / $12,648.00	Professional		$12,648.00	$12,648.00	$12,648.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $5,305.65	Facility		$65.80	$100.00	$5,305.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $46.37 / $60.67 / $97.51	Professional		$46.37	$60.67	$97.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11,311.18 / $11,311.18 / $11,311.18	Professional		$11,311.18	$11,311.18	$11,311.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $7,420.00 / $7,420.00	Professional		$393.93	$7,420.00	$7,420.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Facility		$55.00	$55.00	$55.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $11,311.18 / $11,311.18 / $11,311.18	Professional		$11,311.18	$11,311.18	$11,311.18
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,551.00 / $6,920.00	Facility		$548.00	$1,551.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,897.84 / $2,897.84 / $2,897.84	Professional		$2,897.84	$2,897.84	$2,897.84