Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,169.00 / $5,829.00 / $16,713.00	Facility		$1,169.00	$5,829.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.88 / $376.40 / $474.26	Professional		$201.88	$376.40	$474.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $263.33 / $263.33 / $263.33	Professional		$263.33	$263.33	$263.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $5,944.00 / $11,456.00	Facility		$2,275.00	$5,944.00	$11,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.71 / $261.94 / $604.66	Professional		$192.71	$261.94	$604.66
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 $40.60 / $58.00 / $119.23	Professional		$40.60	$58.00	$119.23
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 $210.16 / $276.02 / $489.59	Professional		$210.16	$276.02	$489.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $473.89 / $967.31 / $1,054.26	Facility		$473.89	$967.31	$1,054.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,509.92 / $1,553.04 / $1,808.03	Professional		$1,509.92	$1,553.04	$1,808.03
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 $218.28 / $279.18 / $372.24	Facility		$218.28	$279.18	$372.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $197.20 / $268.13 / $388.19	Professional		$197.20	$268.13	$388.19
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 $138.78 / $226.16 / $535.72	Professional		$138.78	$226.16	$535.72