Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,225.12 / $11,772.20 / $13,849.70	Facility		$5,225.12	$11,772.20	$13,849.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,343.77 / $5,225.12 / $8,898.37	Professional		$4,343.77	$5,225.12	$8,898.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,351.02 / $7,781.95 / $17,444.47	Facility		$5,351.02	$7,781.95	$17,444.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,246.10 / $5,351.02 / $10,450.23	Professional		$5,246.10	$5,351.02	$10,450.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $7,443.15	Facility		$77.09	$100.00	$7,443.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $5,225.12 / $5,225.12 / $12,958.30	Professional		$5,225.12	$5,225.12	$12,958.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,351.02 / $5,351.02 / $5,351.02	Facility		$5,351.02	$5,351.02	$5,351.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,351.02 / $5,351.02 / $5,351.02	Professional		$5,351.02	$5,351.02	$5,351.02
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 $5,980.55 / $25,317.80 / $25,317.80	Facility		$5,980.55	$25,317.80	$25,317.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,351.02 / $5,351.02 / $7,471.92	Facility		$5,351.02	$5,351.02	$7,471.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,351.02 / $5,351.02 / $9,075.51	Professional		$5,351.02	$5,351.02	$9,075.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $5,246.10 / $6,819.93 / $8,918.37	Professional		$5,246.10	$6,819.93	$8,918.37
United Facility/Professional Professional Modifier Low / Median / High Price $5,246.10 / $5,246.10 / $11,173.14	Professional		$5,246.10	$5,246.10	$11,173.14