Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $6,025.60 / $16,982.44	Facility		$1,778.28	$6,025.60	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $758.58 / $1,096.48	Professional		$295.12	$758.58	$1,096.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $13,803.84 / $22,387.21	Facility		$7,943.28	$13,803.84	$22,387.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $724.44 / $2,089.30	Professional		$407.38	$724.44	$2,089.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $6,456.54	Facility		$60.26	$100.00	$6,456.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $446.68 / $812.83	Professional		$316.23	$446.68	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $630.96 / $831.76	Professional		$89.13	$630.96	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Facility		$6,025.60	$6,025.60	$6,025.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Professional		$6,025.60	$6,025.60	$6,025.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $758.58 / $1,096.48	Facility		$416.87	$758.58	$1,096.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $616.60 / $2,754.23	Professional		$602.56	$616.60	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,918.31	Facility		$588.84	$1,584.89	$6,918.31
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $501.19 / $933.25	Professional		$346.74	$501.19	$933.25