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 $73.81 / $128.00 / $248.63	Professional		$73.81	$128.00	$248.63
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 $35.07 / $92.18 / $362.78	Professional		$35.07	$92.18	$362.78
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 $40.39 / $57.70 / $115.15	Professional		$40.39	$57.70	$115.15
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 $114.48 / $114.48 / $137.16	Professional		$114.48	$114.48	$137.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.47 / $100.57 / $185.36	Professional		$57.47	$100.57	$185.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $207.80 / $423.87 / $462.08	Facility		$207.80	$423.87	$462.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $662.24 / $681.68 / $793.95	Professional		$662.24	$681.68	$793.95
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 $68.95 / $96.86 / $148.29	Facility		$68.95	$96.86	$148.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.47 / $80.92 / $155.80	Professional		$57.47	$80.92	$155.80
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 $69.92 / $93.23 / $208.47	Professional		$69.92	$93.23	$208.47