Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,256.22 / $5,545.00 / $17,133.00	Facility		$1,256.22	$5,545.00	$17,133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $8.00 / $58.78	Professional		$8.00	$8.00	$58.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $4,597.00 / $9,274.00	Facility		$2,143.00	$4,597.00	$9,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.29 / $63.32 / $132.34	Professional		$19.29	$63.32	$132.34
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $1,509.03	Facility		$65.80	$100.00	$1,509.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $55.92 / $79.89 / $127.82	Professional		$55.92	$79.89	$127.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.25 / $32.25 / $40.31	Professional		$32.25	$32.25	$40.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.75 / $90.54 / $140.04	Professional		$72.75	$90.54	$140.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $190.11 / $402.67 / $460.37	Facility		$190.11	$402.67	$460.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $547.67 / $595.04 / $743.48	Professional		$547.67	$595.04	$743.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.93 / $94.46 / $120.69	Facility		$16.93	$94.46	$120.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.75 / $82.58 / $120.44	Professional		$64.75	$82.58	$120.44
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,551.00 / $6,920.00	Facility		$548.00	$1,551.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $15.95 / $24.43 / $75.69	Professional		$15.95	$24.43	$75.69