Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,256.22 / $11,564.00 / $25,694.00	Facility		$1,256.22	$11,564.00	$25,694.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $688.00 / $688.00 / $13,782.00	Professional		$688.00	$688.00	$13,782.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,540.00 / $12,921.00 / $25,901.00	Facility		$5,540.00	$12,921.00	$25,901.00
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 $66.09 / $100.00 / $13,813.69	Facility		$66.09	$100.00	$13,813.69
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 / $100.00	Facility		$100.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $688.00 / $10,876.00 / $22,849.00	Facility		$688.00	$10,876.00	$22,849.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,055.00 / $6,603.00 / $25,797.00	Facility		$2,055.00	$6,603.00	$25,797.00