Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,342.79 / $3,025.32 / $3,559.20	Facility		$1,342.79	$3,025.32	$3,559.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,116.30 / $1,342.79 / $2,286.77	Professional		$1,116.30	$1,342.79	$2,286.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,179.19 / $1,443.91 / $1,652.93	Facility		$1,179.19	$1,443.91	$1,652.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $586.30 / $1,375.15 / $2,362.02	Professional		$586.30	$1,375.15	$2,362.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $75.90 / $98.70 / $1,617.82	Facility		$75.90	$98.70	$1,617.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,456.03 / $1,456.03 / $3,610.95	Professional		$1,456.03	$1,456.03	$3,610.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,429.07 / $1,429.07 / $1,429.07	Facility		$1,429.07	$1,429.07	$1,429.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,429.07 / $1,429.07 / $1,429.07	Professional		$1,429.07	$1,429.07	$1,429.07
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 $1,485.60 / $6,076.00 / $6,076.00	Facility		$1,485.60	$6,076.00	$6,076.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,006.61 / $1,429.07 / $1,920.19	Facility		$1,006.61	$1,429.07	$1,920.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $610.58 / $1,429.07 / $1,483.00	Professional		$610.58	$1,429.07	$1,483.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,888.02 / $1,989.76 / $1,989.76	Facility		$1,888.02	$1,989.76	$1,989.76
United Facility/Professional Professional Modifier Low / Median / High Price $1,388.63 / $1,388.63 / $2,861.97	Professional		$1,388.63	$1,388.63	$2,861.97