Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $9,674.00 / $20,509.00	Facility		$120.00	$9,674.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $81.59 / $120.00	Professional		$27.27	$81.59	$120.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,060.00 / $4,544.00 / $9,381.00	Facility		$2,060.00	$4,544.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $99.98 / $395.26	Professional		$36.31	$99.98	$395.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $1,514.82	Facility		$66.09	$100.00	$1,514.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $46.55 / $66.50 / $133.53	Professional		$46.55	$66.50	$133.53
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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.43 / $122.43 / $146.69	Professional		$122.43	$122.43	$146.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.45 / $111.14 / $204.24	Professional		$67.45	$111.14	$204.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $233.25 / $475.35 / $518.41	Facility		$233.25	$475.35	$518.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $743.20 / $766.32 / $889.80	Professional		$743.20	$766.32	$889.80
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 $80.95 / $107.94 / $160.50	Facility		$80.95	$107.94	$160.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.45 / $88.71 / $171.17	Professional		$67.45	$88.71	$171.17
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 $77.14 / $100.00 / $213.12	Professional		$77.14	$100.00	$213.12