Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,390.00 / $17,013.00	Facility		$1,208.95	$5,390.00	$17,013.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.96 / $224.97 / $1,213.80	Professional		$224.96	$224.97	$1,213.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $479.60 / $5,863.00 / $13,707.00	Facility		$479.60	$5,863.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $458.50 / $554.48 / $1,006.03	Professional		$458.50	$554.48	$1,006.03
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 $205.80 / $294.00 / $604.38	Professional		$205.80	$294.00	$604.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $393.93 / $801.00	Professional		$90.00	$393.93	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,618.62 / $6,566.93 / $7,159.39	Facility		$3,618.62	$6,566.93	$7,159.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,918.24 / $10,263.44 / $12,296.63	Professional		$8,918.24	$10,263.44	$12,296.63
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 $988.58 / $1,286.08 / $1,660.18	Facility		$988.58	$1,286.08	$1,660.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,004.98 / $1,071.73 / $6,763.38	Professional		$1,004.98	$1,071.73	$6,763.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,123.00 / $18,493.00	Facility		$2,009.00	$5,123.00	$18,493.00
United Facility/Professional Professional Modifier Low / Median / High Price $947.24 / $1,261.52 / $2,581.44	Professional		$947.24	$1,261.52	$2,581.44