Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $39,810.72	Facility		$11,220.18	$11,220.18	$39,810.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $6,025.60 / $11,220.18	Professional		$4,168.69	$6,025.60	$11,220.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $10,715.19 / $26,915.35	Facility		$8,511.38	$10,715.19	$26,915.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $11,220.18 / $11,220.18	Professional		$9,772.37	$11,220.18	$11,220.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15,488.17 / $26,915.35 / $40,738.03	Professional		$15,488.17	$26,915.35	$40,738.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $7,585.78	Facility		$7,585.78	$7,585.78	$7,585.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $7,585.78	Professional		$6,456.54	$6,456.54	$7,585.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $630.96 / $831.76	Professional		$398.11	$630.96	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $56,234.13 / $56,234.13 / $56,234.13	Facility		$56,234.13	$56,234.13	$56,234.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $56,234.13 / $72,443.60 / $72,443.60	Professional		$56,234.13	$72,443.60	$72,443.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $16,982.44 / $16,982.44 / $16,982.44	Professional		$16,982.44	$16,982.44	$16,982.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $11,220.18 / $19,054.61	Facility		$5,888.44	$11,220.18	$19,054.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $7,585.78	Professional		$6,456.54	$6,456.54	$7,585.78
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $7,413.10 / $12,882.50	Facility		$933.25	$7,413.10	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $8,511.38 / $14,454.40	Professional		$4,897.79	$8,511.38	$14,454.40