Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,545.00 / $17,133.00	Facility		$1,208.95	$5,545.00	$17,133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.97 / $224.97 / $704.59	Professional		$224.97	$224.97	$704.59
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 / $556.42 / $918.81	Professional		$458.50	$556.42	$918.81
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 $224.00 / $320.00 / $657.82	Professional		$224.00	$320.00	$657.82
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 $1,589.48 / $3,424.26 / $3,733.31	Facility		$1,589.48	$3,424.26	$3,733.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,065.12 / $5,507.20 / $6,414.98	Professional		$5,065.12	$5,507.20	$6,414.98
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 $503.93 / $897.56 / $1,162.13	Facility		$503.93	$897.56	$1,162.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $718.05 / $743.98 / $3,526.70	Professional		$718.05	$743.98	$3,526.70
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 $491.40 / $666.53 / $1,310.89	Professional		$491.40	$666.53	$1,310.89