Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,798.00 / $6,211.00 / $17,809.00	Facility		$1,798.00	$6,211.00	$17,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $593.53 / $13,531.45 / $25,364.80	Professional		$593.53	$13,531.45	$25,364.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $479.60 / $8,498.00 / $21,136.00	Facility		$479.60	$8,498.00	$21,136.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $430.58 / $541.16 / $2,035.15	Professional		$430.58	$541.16	$2,035.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.40 / $97.00 / $5,349.65	Facility		$60.40	$97.00	$5,349.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $215.60 / $308.00 / $633.16	Professional		$215.60	$308.00	$633.16
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 $1,343.00 / $2,998.63 / $3,389.44	Facility		$1,343.00	$2,998.63	$3,389.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,239.33 / $6,239.33 / $6,428.56	Professional		$6,239.33	$6,239.33	$6,428.56
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 $704.86 / $804.97 / $1,142.95	Facility		$704.86	$804.97	$1,142.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $606.71 / $628.61 / $2,832.91	Professional		$606.71	$628.61	$2,832.91
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 $274.39 / $689.38 / $1,517.70	Professional		$274.39	$689.38	$1,517.70