Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,857.07 / $2,321.33 / $10,741.64	Facility		$1,857.07	$2,321.33	$10,741.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,857.06 / $1,857.07 / $7,060.80	Professional		$1,857.06	$1,857.07	$7,060.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $935.83 / $1,814.86 / $2,688.35	Facility		$935.83	$1,814.86	$2,688.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $681.90 / $1,857.07 / $3,626.75	Professional		$681.90	$1,857.07	$3,626.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $2,336.15	Facility		$77.09	$100.00	$2,336.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,813.38 / $1,813.38 / $4,497.18	Professional		$1,813.38	$1,813.38	$4,497.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,039.14 / $2,039.14 / $2,039.14	Facility		$2,039.14	$2,039.14	$2,039.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,039.14 / $2,039.14 / $2,039.14	Professional		$2,039.14	$2,039.14	$2,039.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $2,621.00 / $7,277.00	Professional		$393.93	$2,621.00	$7,277.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,075.55 / $9,193.40 / $9,193.40	Facility		$2,075.55	$9,193.40	$9,193.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,039.14 / $2,039.14 / $2,655.61	Facility		$2,039.14	$2,039.14	$2,655.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,039.14 / $2,039.14 / $2,039.14	Professional		$2,039.14	$2,039.14	$2,039.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,752.86 / $2,278.71 / $2,979.86	Professional		$1,752.86	$2,278.71	$2,979.86
United Facility/Professional Professional Modifier Low / Median / High Price $2,009.55 / $2,123.77 / $3,857.19	Professional		$2,009.55	$2,123.77	$3,857.19