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 $75.20 / $120.00 / $406.48	Professional		$75.20	$120.00	$406.48
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 / $94.06 / $368.17	Professional		$35.07	$94.06	$368.17
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 $41.20 / $58.85 / $117.65	Professional		$41.20	$58.85	$117.65
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 $58.25 / $101.94 / $188.49	Professional		$58.25	$101.94	$188.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $216.01 / $440.53 / $480.32	Facility		$216.01	$440.53	$480.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $688.32 / $708.56 / $825.00	Professional		$688.32	$708.56	$825.00
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 $69.90 / $99.07 / $153.08	Facility		$69.90	$99.07	$153.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.25 / $82.00 / $157.85	Professional		$58.25	$82.00	$157.85
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 $71.06 / $94.01 / $212.01	Professional		$71.06	$94.01	$212.01