Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,390.00 / $17,013.00	Facility		$1,208.95	$5,390.00	$17,013.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.65 / $202.94 / $533.92	Professional		$147.65	$202.94	$533.92
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 $145.81 / $186.29 / $730.95	Professional		$145.81	$186.29	$730.95
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 $74.90 / $107.00 / $204.39	Professional		$74.90	$107.00	$204.39
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 $224.59 / $224.59 / $269.08	Professional		$224.59	$224.59	$269.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.59 / $194.82 / $376.13	Professional		$101.59	$194.82	$376.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $423.04 / $2,710.90 / $2,710.90	Facility		$423.04	$2,710.90	$2,710.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.16 / $1,385.12 / $1,616.18	Professional		$1,348.16	$1,385.12	$1,616.18
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 $121.91 / $194.82 / $300.70	Facility		$121.91	$194.82	$300.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.59 / $158.47 / $304.19	Professional		$101.59	$158.47	$304.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,371.00 / $2,699.00 / $7,655.00	Facility		$1,371.00	$2,699.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $187.50 / $392.83	Professional		$140.00	$187.50	$392.83