Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $10,693.00 / $23,282.00	Facility		$5,000.00	$10,693.00	$23,282.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,329.00 / $10,589.00 / $21,960.90	Professional		$5,329.00	$10,589.00	$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 $1,465.00 / $1,739.68 / $1,831.25	Professional		$1,465.00	$1,739.68	$1,831.25
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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $483.14 / $483.14 / $696.79	Professional		$483.14	$483.14	$696.79
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 $1,849.84 / $2,338.56 / $2,405.84	Facility		$1,849.84	$2,338.56	$2,405.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,676.82 / $1,676.82 / $2,031.23	Professional		$1,676.82	$1,676.82	$2,031.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $260.20 / $341.28 / $6,873.00	Facility		$260.20	$341.28	$6,873.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $253.25 / $1,800,000.00 / $2,400,000.00	Professional		$253.25	$1,800,000.00	$2,400,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $12,377.00 / $26,672.00	Facility		$5,830.00	$12,377.00	$26,672.00
United Facility/Professional Professional Modifier Low / Median / High Price $227.23 / $322.69 / $740.16	Professional		$227.23	$322.69	$740.16