Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,933.82 / $45,278.00 / $79,337.39	Facility		$7,933.82	$45,278.00	$79,337.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,174.96 / $6,266.40 / $9,693.00	Professional		$3,174.96	$6,266.40	$9,693.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15,241.44 / $15,241.44 / $15,241.44	Professional		$15,241.44	$15,241.44	$15,241.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,569.00 / $15,064.00 / $32,299.00	Facility		$5,569.00	$15,064.00	$32,299.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $930.00 / $1,323.80 / $2,941.74	Professional		$930.00	$1,323.80	$2,941.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $80.90 / $5,157.10 / $12,815.65	Facility		$80.90	$5,157.10	$12,815.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $918.75 / $2,572.50 / $5,931.45	Professional		$918.75	$2,572.50	$5,931.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25,160.00 / $37,653.00 / $56,406.00	Facility		$25,160.00	$37,653.00	$56,406.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,821.49 / $2,821.49 / $2,821.49	Professional		$2,821.49	$2,821.49	$2,821.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,563.84 / $3,392.50 / $5,937.32	Professional		$2,563.84	$3,392.50	$5,937.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,585.96 / $21,548.42 / $21,548.42	Facility		$6,585.96	$21,548.42	$21,548.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20,170.37 / $20,170.37 / $28,991.33	Professional		$20,170.37	$20,170.37	$28,991.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,238.54 / $3,953.84 / $29,235.00	Facility		$3,238.54	$3,953.84	$29,235.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,821.49 / $2,821.49 / $3,230.95	Professional		$2,821.49	$2,821.49	$3,230.95
United Facility/Professional Facility Modifier Low / Median / High Price $6,934.00 / $12,446.00 / $26,451.00	Facility		$6,934.00	$12,446.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,783.25 / $3,169.39 / $8,143.42	Professional		$1,783.25	$3,169.39	$8,143.42