Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,242.92 / $4,242.92 / $4,736.28	Facility		$4,242.92	$4,242.92	$4,736.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,736.28 / $5,810.08 / $12,049.98	Professional		$4,736.28	$5,810.08	$12,049.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $823.34 / $991.60 / $2,621.71	Facility		$823.34	$991.60	$2,621.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,465.50 / $6,671.03 / $22,576.31	Professional		$6,465.50	$6,671.03	$22,576.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $12,956.98 / $24,606.38	Facility		$97.00	$12,956.98	$24,606.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12,835.01 / $18,787.43 / $27,570.75	Professional		$12,835.01	$18,787.43	$27,570.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,587.41 / $10,587.41 / $10,587.41	Facility		$10,587.41	$10,587.41	$10,587.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,777.03 / $10,777.03 / $17,925.00	Professional		$10,777.03	$10,777.03	$17,925.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $801.00 / $21,528.00	Professional		$393.93	$801.00	$21,528.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,108.58 / $69,378.71 / $71,908.16	Facility		$11,108.58	$69,378.71	$71,908.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $67,309.53 / $67,309.53 / $110,876.63	Professional		$67,309.53	$67,309.53	$110,876.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,546.22 / $8,123.58 / $19,680.13	Facility		$1,546.22	$8,123.58	$19,680.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,353.93 / $10,777.03 / $10,777.03	Professional		$1,353.93	$10,777.03	$10,777.03
United Facility/Professional Professional Modifier Low / Median / High Price $5,837.12 / $6,507.39 / $14,200.32	Professional		$5,837.12	$6,507.39	$14,200.32