Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,817.28 / $7,545.70 / $18,616.90	Facility		$3,817.28	$7,545.70	$18,616.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,810.58 / $3,855.45 / $6,489.42	Professional		$3,810.58	$3,855.45	$6,489.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,893.63 / $6,097.34 / $13,668.15	Facility		$3,893.63	$6,097.34	$13,668.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,772.85 / $3,817.28 / $8,293.15	Professional		$3,772.85	$3,817.28	$8,293.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $100.00 / $4,459.53	Facility		$77.00	$100.00	$4,459.53
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3,889.30 / $3,889.30 / $9,369.21	Professional		$3,889.30	$3,889.30	$9,369.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,601.20 / $3,601.20 / $3,817.28	Facility		$3,601.20	$3,601.20	$3,817.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $3,817.28 / $3,817.28	Professional		$3,817.28	$3,817.28	$3,817.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,435.55 / $4,580.74 / $8,398.02	Professional		$3,435.55	$4,580.74	$8,398.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,663.68 / $17,530.20 / $19,086.40	Facility		$4,663.68	$17,530.20	$19,086.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,601.20 / $3,817.28 / $5,418.91	Facility		$3,601.20	$3,817.28	$5,418.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $3,817.28 / $8,256.78	Professional		$3,817.28	$3,817.28	$8,256.78
United Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $4,046.32 / $8,101.03	Professional		$3,817.28	$4,046.32	$8,101.03