Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,033.65 / $6,834.85 / $8,041.00	Facility		$3,033.65	$6,834.85	$8,041.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,521.94 / $3,033.65 / $5,166.31	Professional		$2,521.94	$3,033.65	$5,166.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $3,279.49	Facility		$0.02	$0.03	$3,279.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,045.83 / $3,106.75 / $6,067.30	Professional		$3,045.83	$3,106.75	$6,067.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $76.20 / $98.70 / $3,655.00	Facility		$76.20	$98.70	$3,655.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3,033.65 / $3,033.65 / $7,523.45	Professional		$3,033.65	$3,033.65	$7,523.45
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 $3,472.25 / $15,012.90 / $15,731.30	Facility		$3,472.25	$15,012.90	$15,731.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,185.33 / $4,338.12 / $4,345.10	Facility		$3,185.33	$4,338.12	$4,345.10
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3,045.83 / $3,959.58 / $5,177.91	Professional		$3,045.83	$3,959.58	$5,177.91
United Facility/Professional Professional Modifier Low / Median / High Price $3,045.83 / $3,045.83 / $6,487.01	Professional		$3,045.83	$3,045.83	$6,487.01