Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,652.00 / $6,795.00 / $21,785.25	Facility		$1,652.00	$6,795.00	$21,785.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $627.98 / $1,559.20 / $13,290.00	Professional		$627.98	$1,559.20	$13,290.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,486.00 / $12,800.00 / $24,456.00	Facility		$5,486.00	$12,800.00	$24,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.01 / $8.01 / $8.01	Professional		$8.01	$8.01	$8.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $11,407.14	Facility		$63.50	$100.00	$11,407.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,182.00 / $13,534.00 / $23,091.00	Facility		$9,182.00	$13,534.00	$23,091.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $12,500.00	Professional		$393.93	$393.93	$12,500.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $40,858.00	Facility		$100.00	$100.00	$40,858.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,559.20 / $10,876.00 / $22,849.00	Facility		$1,559.20	$10,876.00	$22,849.00
United Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $1,887.00 / $14,637.00	Facility		$570.00	$1,887.00	$14,637.00