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 $53.29 / $98.50 / $120.00	Professional		$53.29	$98.50	$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 / $100.71 / $400.67	Professional		$36.31	$100.71	$400.67
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 $47.31 / $67.58 / $135.69	Professional		$47.31	$67.58	$135.69
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 $68.64 / $112.36 / $206.55	Professional		$68.64	$112.36	$206.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $235.89 / $481.38 / $524.50	Facility		$235.89	$481.38	$524.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $751.76 / $771.44 / $902.03	Professional		$751.76	$771.44	$902.03
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 $82.37 / $109.82 / $162.43	Facility		$82.37	$109.82	$162.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.64 / $89.79 / $173.18	Professional		$68.64	$89.79	$173.18
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 $77.98 / $102.97 / $203.89	Professional		$77.98	$102.97	$203.89