Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,700.00 / $6,880.00 / $17,902.00	Facility		$2,700.00	$6,880.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.50 / $538.40 / $3,192.80	Professional		$517.50	$538.40	$3,192.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,696.00 / $7,166.00 / $15,328.00	Facility		$2,696.00	$7,166.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,439.48 / $3,055.28 / $5,707.94	Professional		$2,439.48	$3,055.28	$5,707.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $10,117.12	Facility		$64.20	$100.00	$10,117.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $200.00 / $487.54	Professional		$140.00	$200.00	$487.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.00 / $798.06 / $1,150.98	Professional		$260.00	$798.06	$1,150.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,626.00 / $1,949.00 / $3,773.00	Professional		$1,626.00	$1,949.00	$3,773.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $2,000.00	Facility		$55.00	$2,000.00	$2,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,755.60 / $4,308.85 / $4,481.21	Professional		$2,755.60	$4,308.85	$4,481.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $517.50 / $678.30 / $4,022.93	Facility		$517.50	$678.30	$4,022.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $325.00 / $525.00	Professional		$240.00	$325.00	$525.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,835.00 / $12,434.00 / $26,672.00	Facility		$5,835.00	$12,434.00	$26,672.00