Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,532.00 / $17,030.00	Facility		$1,208.95	$5,532.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.39 / $294.39 / $1,039.74	Professional		$294.39	$294.39	$1,039.74
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 $401.90 / $554.44 / $1,996.98	Professional		$401.90	$554.44	$1,996.98
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 $243.60 / $348.00 / $715.38	Professional		$243.60	$348.00	$715.38
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 $1,279.36 / $2,949.18 / $3,149.56	Facility		$1,279.36	$2,949.18	$3,149.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,080.10 / $6,080.10 / $6,080.10	Professional		$6,080.10	$6,080.10	$6,080.10
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 $559.36 / $727.38 / $955.42	Facility		$559.36	$727.38	$955.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $577.88 / $598.78 / $2,786.10	Professional		$577.88	$598.78	$2,786.10
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 $344.40 / $479.70 / $998.32	Professional		$344.40	$479.70	$998.32