Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,068.00 / $10,865.00 / $23,755.00	Facility		$5,068.00	$10,865.00	$23,755.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,329.00 / $10,930.00 / $21,960.90	Professional		$5,329.00	$10,930.00	$21,960.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,537.00 / $9,747.00 / $19,696.00	Facility		$3,537.00	$9,747.00	$19,696.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.88 / $803.79 / $846.10	Professional		$676.88	$803.79	$846.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $85.50 / $4,412.66 / $9,813.00	Facility		$85.50	$4,412.66	$9,813.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,319.00 / $13,563.00 / $22,827.00	Facility		$7,319.00	$13,563.00	$22,827.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $1,619.00	Professional		$393.93	$393.93	$1,619.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,075.28 / $2,618.80 / $2,650.96	Facility		$2,075.28	$2,618.80	$2,650.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,858.31 / $1,858.31 / $2,283.90	Professional		$1,858.31	$1,858.31	$2,283.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $291.27 / $382.03 / $6,873.00	Facility		$291.27	$382.03	$6,873.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $283.85 / $1,800,000.00 / $2,400,000.00	Professional		$283.85	$1,800,000.00	$2,400,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $12,377.00 / $27,937.00	Facility		$5,830.00	$12,377.00	$27,937.00
United Facility/Professional Professional Modifier Low / Median / High Price $251.77 / $360.12 / $820.37	Professional		$251.77	$360.12	$820.37