Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,165.95 / $16,595.87	Facility		$1,737.80	$6,165.95	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $257.04 / $851.14	Professional		$154.88	$257.04	$851.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $269.15 / $831.76	Professional		$194.98	$269.15	$831.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $74.13 / $134.90	Professional		$52.48	$74.13	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20,417.38 / $23,988.33 / $28,840.32	Facility		$20,417.38	$23,988.33	$28,840.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $218.78	Professional		$181.97	$181.97	$218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $263.03 / $407.38	Professional		$208.93	$263.03	$407.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,819.70 / $1,819.70	Professional		$1,513.56	$1,819.70	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $275.42 / $389.05	Facility		$194.98	$275.42	$389.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $234.42 / $1,000.00	Professional		$218.78	$234.42	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,456.54	Facility		$588.84	$1,584.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $234.42 / $549.54	Professional		$138.04	$234.42	$549.54