Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,326.37 / $2,326.37 / $2,326.37	Facility		$2,326.37	$2,326.37	$2,326.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,326.36 / $2,326.37 / $2,326.37	Professional		$2,326.36	$2,326.37	$2,326.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.53 / $302.70 / $2,741.16	Facility		$143.53	$302.70	$2,741.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.37 / $2,326.37 / $4,536.42	Professional		$131.37	$2,326.37	$4,536.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $2,736.91	Facility		$77.09	$100.00	$2,736.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,600.06 / $2,600.06 / $6,427.35	Professional		$2,600.06	$2,600.06	$6,427.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,554.44 / $2,554.44 / $2,554.44	Facility		$2,554.44	$2,554.44	$2,554.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,554.44 / $2,554.44 / $2,554.44	Professional		$2,554.44	$2,554.44	$2,554.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $285.00 / $393.93 / $792.00	Professional		$285.00	$393.93	$792.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,600.06 / $11,271.25 / $11,809.10	Facility		$2,600.06	$11,271.25	$11,809.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,326.37 / $2,554.44 / $3,326.71	Facility		$2,326.37	$2,554.44	$3,326.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.89 / $2,554.44 / $2,554.44	Professional		$108.89	$2,554.44	$2,554.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,280.76 / $2,964.99 / $3,877.29	Professional		$2,280.76	$2,964.99	$3,877.29
United Facility/Professional Facility Modifier Low / Median / High Price $5,165.76 / $5,444.13 / $6,042.92	Facility		$5,165.76	$5,444.13	$6,042.92
United Facility/Professional Professional Modifier Low / Median / High Price $2,349.17 / $2,736.91 / $4,795.14	Professional		$2,349.17	$2,736.91	$4,795.14