Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,843.00 / $7,550.00 / $22,788.00	Facility		$2,843.00	$7,550.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.54 / $906.93 / $5,794.81	Professional		$204.54	$906.93	$5,794.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,516.00 / $4,576.00 / $11,216.00	Facility		$1,516.00	$4,576.00	$11,216.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $345.97 / $522.72 / $1,029.20	Professional		$345.97	$522.72	$1,029.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.80 / $1,456.27 / $8,343.54	Facility		$69.80	$1,456.27	$8,343.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $303.24 / $433.20 / $953.04	Professional		$303.24	$433.20	$953.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $766.00 / $5,431.00	Facility		$633.00	$766.00	$5,431.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,069.13 / $1,336.41 / $4,119.12	Professional		$1,069.13	$1,336.41	$4,119.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $756.90 / $913.63 / $1,522.50	Professional		$756.90	$913.63	$1,522.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,874.70 / $11,977.15 / $11,977.15	Facility		$4,874.70	$11,977.15	$11,977.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,251.44 / $6,431.20 / $7,492.43	Professional		$6,251.44	$6,431.20	$7,492.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $85.00	Professional		$60.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $708.00 / $1,018.24 / $1,435.50	Facility		$708.00	$1,018.24	$1,435.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $739.50 / $1,003.22 / $1,421.42	Professional		$739.50	$1,003.22	$1,421.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,599.00 / $9,610.00 / $21,278.00	Facility		$2,599.00	$9,610.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $234.37 / $592.76 / $1,086.33	Professional		$234.37	$592.76	$1,086.33