Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,600.00 / $18,228.47 / $60,055.16	Facility		$9,600.00	$18,228.47	$60,055.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12,147.84 / $15,821.91 / $18,228.47	Professional		$12,147.84	$15,821.91	$18,228.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,214.00 / $16,720.00 / $17,084.00	Facility		$16,214.00	$16,720.00	$17,084.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,985.01 / $4,985.01 / $9,970.00	Professional		$4,985.01	$4,985.01	$9,970.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $85.50 / $24,203.07 / $44,784.19	Facility		$85.50	$24,203.07	$44,784.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9,388.40 / $13,412.00 / $30,692.02	Professional		$9,388.40	$13,412.00	$30,692.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16,087.50 / $16,087.50 / $16,087.50	Professional		$16,087.50	$16,087.50	$16,087.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $87,425.50	Facility		$100.00	$100.00	$87,425.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $25,629.86 / $25,629.86 / $25,629.86	Professional		$25,629.86	$25,629.86	$25,629.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $14,126.71 / $18,228.47 / $26,108.64	Facility		$14,126.71	$18,228.47	$26,108.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $16,087.50 / $16,087.50 / $16,087.50	Professional		$16,087.50	$16,087.50	$16,087.50