Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $10,715.19 / $22,908.68	Facility		$3,981.07	$10,715.19	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $616.60 / $2,454.71	Professional		$436.52	$616.60	$2,454.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $831.76 / $1,698.24	Professional		$616.60	$831.76	$1,698.24
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 $501.19 / $724.44 / $1,584.89	Professional		$501.19	$724.44	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $691.83 / $1,621.81	Professional		$512.86	$691.83	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $588.84 / $1,258.93	Professional		$407.38	$588.84	$1,258.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $5,754.40	Facility		$54.95	$56.23	$5,754.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Professional		$6,025.60	$6,025.60	$6,025.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $645.65 / $1,096.48	Facility		$467.74	$645.65	$1,096.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $707.95 / $1,513.56	Professional		$512.86	$707.95	$1,513.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $426.58 / $524.81	Professional		$380.19	$426.58	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $6,165.95 / $18,620.87	Facility		$2,041.74	$6,165.95	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $630.96 / $1,318.26	Professional		$416.87	$630.96	$1,318.26