Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $7,585.78 / $18,197.01	Facility		$3,162.28	$7,585.78	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $3,162.28	Professional		$512.86	$512.86	$3,162.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,090.30 / $5,888.44	Professional		$2,398.83	$3,090.30	$5,888.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $11,481.54	Facility		$63.10	$100.00	$11,481.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $263.03 / $501.19	Professional		$190.55	$263.03	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $331.13 / $812.83	Professional		$239.88	$331.13	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,949.84 / $5,248.07	Professional		$398.11	$1,949.84	$5,248.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $4,466.84 / $4,466.84	Professional		$2,754.23	$4,466.84	$4,466.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $588.84 / $3,548.13	Facility		$512.86	$588.84	$3,548.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $323.59 / $812.83	Professional		$79.43	$323.59	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $12,302.69 / $25,703.96	Facility		$6,760.83	$12,302.69	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $616.60	Professional		$389.05	$389.05	$616.60