Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $9,674.00 / $20,509.00	Facility		$873.00	$9,674.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $414.45 / $572.09 / $2,486.90	Professional		$414.45	$572.09	$2,486.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,294.00 / $9,168.00 / $17,774.00	Facility		$3,294.00	$9,168.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.63 / $789.81 / $1,521.92	Professional		$630.63	$789.81	$1,521.92
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $98.70 / $14,117.38	Facility		$63.50	$98.70	$14,117.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $388.65 / $590.03 / $1,270.28	Professional		$388.65	$590.03	$1,270.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $505.17 / $695.11 / $1,869.23	Professional		$505.17	$695.11	$1,869.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $412.11 / $586.85 / $1,053.17	Professional		$412.11	$586.85	$1,053.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,758.16 / $5,984.88	Facility		$55.00	$4,758.16	$5,984.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,741.42 / $5,999.78 / $5,999.78	Professional		$5,741.42	$5,999.78	$5,999.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $452.97 / $576.65 / $904.95	Facility		$452.97	$576.65	$904.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $515.20 / $700.15 / $1,853.39	Professional		$515.20	$700.15	$1,853.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $369.06 / $443.07 / $507.45	Professional		$369.06	$443.07	$507.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,930.00 / $6,395.00 / $18,709.00	Facility		$1,930.00	$6,395.00	$18,709.00
United Facility/Professional Professional Modifier Low / Median / High Price $420.30 / $629.70 / $1,358.93	Professional		$420.30	$629.70	$1,358.93