Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23,229.71 / $51,777.10 / $140,656.00	Facility		$23,229.71	$51,777.10	$140,656.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22,390.08 / $23,229.71 / $27,875.70	Professional		$22,390.08	$23,229.71	$27,875.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,906.16 / $8,254.32 / $28,594.93	Facility		$3,906.16	$8,254.32	$28,594.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,927.77 / $23,789.46 / $42,345.23	Professional		$4,927.77	$23,789.46	$42,345.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $34,984.50	Facility		$77.09	$100.00	$34,984.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $23,229.71 / $23,229.71 / $47,816.04	Professional		$23,229.71	$23,229.71	$47,816.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23,789.46 / $23,789.46 / $41,188.31	Facility		$23,789.46	$23,789.46	$41,188.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23,789.46 / $23,789.46 / $23,789.46	Professional		$23,789.46	$23,789.46	$23,789.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $638.07 / $801.00	Professional		$283.26	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $26,588.22 / $121,142.10 / $121,142.10	Facility		$26,588.22	$121,142.10	$121,142.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $103,405.50 / $106,352.88 / $125,944.20	Professional		$103,405.50	$106,352.88	$125,944.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $6,529.27 / $6,529.27	Professional		$60.00	$6,529.27	$6,529.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,005.59 / $23,229.71 / $27,987.60	Facility		$3,005.59	$23,229.71	$27,987.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $23,789.46 / $23,789.46 / $29,153.75	Professional		$23,789.46	$23,789.46	$29,153.75
United Facility/Professional Professional Modifier Low / Median / High Price $23,323.00 / $23,323.00 / $39,084.68	Professional		$23,323.00	$23,323.00	$39,084.68