Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,150.81 / $4,845.81 / $5,700.95	Facility		$2,150.81	$4,845.81	$5,700.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,788.02 / $2,150.81 / $3,662.83	Professional		$1,788.02	$2,150.81	$3,662.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,258.88 / $3,519.08 / $7,888.56	Facility		$2,258.88	$3,519.08	$7,888.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $750.19 / $2,202.64 / $4,301.62	Professional		$750.19	$2,202.64	$4,301.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $76.20 / $98.10 / $2,591.34	Facility		$76.20	$98.10	$2,591.34
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,150.81 / $2,150.81 / $5,316.80	Professional		$2,150.81	$2,150.81	$5,316.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,202.64 / $2,202.64 / $2,202.64	Facility		$2,202.64	$2,202.64	$2,202.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,202.64 / $2,202.64 / $2,202.64	Professional		$2,202.64	$2,202.64	$2,202.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $3,135.00 / $4,517.00	Professional		$393.93	$3,135.00	$4,517.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,461.77 / $11,383.05 / $11,383.05	Facility		$2,461.77	$11,383.05	$11,383.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,202.64 / $2,202.64 / $3,075.66	Facility		$2,202.64	$2,202.64	$3,075.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $615.53 / $2,202.64 / $2,202.64	Professional		$615.53	$2,202.64	$2,202.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,097.96 / $2,727.35 / $3,566.53	Professional		$2,097.96	$2,727.35	$3,566.53
United Facility/Professional Professional Modifier Low / Median / High Price $2,159.44 / $2,159.44 / $4,599.20	Professional		$2,159.44	$2,159.44	$4,599.20