Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,008.95 / $6,779.20 / $7,975.53	Facility		$3,008.95	$6,779.20	$7,975.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,501.42 / $3,008.95 / $5,124.24	Professional		$2,501.42	$3,008.95	$5,124.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,871.17 / $3,829.92 / $8,271.45	Facility		$2,871.17	$3,829.92	$8,271.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,402.51 / $3,081.45 / $6,532.67	Professional		$1,402.51	$3,081.45	$6,532.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $76.20 / $99.00 / $4,082.12	Facility		$76.20	$99.00	$4,082.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3,008.95 / $3,008.95 / $7,462.20	Professional		$3,008.95	$3,008.95	$7,462.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,081.45 / $3,081.45 / $3,081.45	Facility		$3,081.45	$3,081.45	$3,081.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,081.45 / $3,081.45 / $3,081.45	Professional		$3,081.45	$3,081.45	$3,081.45
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 $3,443.98 / $13,885.70 / $14,522.90	Facility		$3,443.98	$13,885.70	$14,522.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,301.91 / $3,081.45 / $4,302.80	Facility		$2,301.91	$3,081.45	$4,302.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,201.71 / $3,081.45 / $3,081.45	Professional		$1,201.71	$3,081.45	$3,081.45
United Facility/Professional Professional Modifier Low / Median / High Price $3,021.04 / $3,021.04 / $6,561.48	Professional		$3,021.04	$3,021.04	$6,561.48