Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,471.29 / $22,908.68	Facility		$4,466.84	$10,471.29	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,621.81 / $2,137.96	Professional		$512.86	$1,621.81	$2,137.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,570.88 / $12,882.50	Facility		$2,570.40	$4,570.88	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $1,737.80 / $1,819.70	Professional		$154.88	$1,737.80	$1,819.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $1,000.00 / $7,413.10	Facility		$64.57	$1,000.00	$7,413.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $79.43	Professional		$39.81	$39.81	$79.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $398.11	Professional		$141.25	$141.25	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $7,079.46	Facility		$7,079.46	$7,079.46	$7,079.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $7,079.46	Professional		$7,079.46	$7,079.46	$7,079.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $870.96 / $2,398.83	Facility		$691.83	$870.96	$2,398.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $602.56	Professional		$588.84	$588.84	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,585.78 / $15,135.61	Facility		$3,981.07	$7,585.78	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,089.30 / $4,677.35	Professional		$1,445.44	$2,089.30	$4,677.35