Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,749.00 / $9,871.43 / $21,960.90	Facility		$4,749.00	$9,871.43	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,989.04 / $9,871.43 / $9,871.43	Professional		$3,989.04	$9,871.43	$9,871.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,140.00 / $9,596.00 / $18,798.00	Facility		$4,140.00	$9,596.00	$18,798.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,522.00 / $5,514.20 / $12,992.68	Professional		$2,522.00	$5,514.20	$12,992.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $5,864.13	Facility		$64.40	$100.00	$5,864.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,838.51 / $5,470.70 / $10,463.19	Professional		$3,838.51	$5,470.70	$10,463.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $1,619.00	Professional		$393.93	$393.93	$1,619.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $30,623.84 / $37,475.51	Facility		$55.00	$30,623.84	$37,475.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $28,924.00 / $29,452.16 / $33,531.60	Professional		$28,924.00	$29,452.16	$33,531.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,850.64 / $5,839.94 / $9,871.43	Facility		$4,850.64	$5,839.94	$9,871.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,838.51 / $5,605.61 / $10,463.19	Professional		$3,838.51	$5,605.61	$10,463.19
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 $3,100.53 / $4,602.75 / $12,551.66	Professional		$3,100.53	$4,602.75	$12,551.66