Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.98 / $9,674.00 / $20,509.00	Facility		$303.98	$9,674.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.12 / $214.59 / $303.98	Professional		$124.12	$214.59	$303.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,115.00 / $4,549.00 / $9,119.00	Facility		$2,115.00	$4,549.00	$9,119.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.77 / $197.37 / $812.18	Professional		$153.77	$197.37	$812.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $1,694.68	Facility		$66.90	$100.00	$1,694.68
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $86.10 / $123.00 / $239.29	Professional		$86.10	$123.00	$239.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $938.60 / $940.26 / $1,681.08	Facility		$938.60	$940.26	$1,681.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $245.66 / $294.32	Professional		$245.66	$245.66	$294.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.04 / $218.75 / $419.49	Professional		$120.04	$218.75	$419.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $468.34 / $2,710.90 / $2,710.90	Facility		$468.34	$2,710.90	$2,710.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,492.56 / $1,535.04 / $1,788.98	Professional		$1,492.56	$1,535.04	$1,788.98
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 $144.05 / $217.58 / $333.79	Facility		$144.05	$217.58	$333.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.04 / $177.12 / $340.74	Professional		$120.04	$177.12	$340.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,371.00 / $2,699.00 / $7,399.00	Facility		$1,371.00	$2,699.00	$7,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $154.77 / $203.09 / $430.67	Professional		$154.77	$203.09	$430.67