Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,169.00 / $5,710.00 / $16,713.00	Facility		$1,169.00	$5,710.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.16 / $311.91 / $580.78	Professional		$101.16	$311.91	$580.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,060.00 / $4,544.00 / $9,381.00	Facility		$2,060.00	$4,544.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.45 / $261.94 / $544.61	Professional		$185.45	$261.94	$544.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $79.00 / $91.00	Facility		$77.09	$79.00	$91.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $82.53 / $117.90 / $242.37	Professional		$82.53	$117.90	$242.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $20,814.00 / $25,978.00	Facility		$2,277.00	$20,814.00	$25,978.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.26 / $181.26 / $217.17	Professional		$181.26	$181.26	$217.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.91 / $166.18 / $286.76	Professional		$108.91	$166.18	$286.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $379.29 / $773.56 / $843.32	Facility		$379.29	$773.56	$843.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,208.72 / $1,242.96 / $1,448.78	Professional		$1,208.72	$1,242.96	$1,448.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $127.67 / $166.18 / $230.06	Facility		$127.67	$166.18	$230.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $110.98 / $140.94 / $272.83	Professional		$110.98	$140.94	$272.83
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $6,323.00	Facility		$587.00	$1,551.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.05 / $201.52 / $420.88	Professional		$124.05	$201.52	$420.88