Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $9,008.00 / $19,860.00	Facility		$2,421.00	$9,008.00	$19,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $991.05 / $1,395.28 / $1,395.28	Professional		$991.05	$1,395.28	$1,395.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,014.00 / $7,747.00 / $38,225.71	Facility		$3,014.00	$7,747.00	$38,225.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,052.34 / $1,325.39 / $2,438.33	Professional		$1,052.34	$1,325.39	$2,438.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $1,580.37	Facility		$65.80	$100.00	$1,580.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $89.13	Professional		$40.00	$40.00	$89.13
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 $740.15 / $740.15 / $886.78	Professional		$740.15	$740.15	$886.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $801.00	Professional		$393.93	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,978.98 / $13,225.96 / $14,342.46	Facility		$9,978.98	$13,225.96	$14,342.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,559.68 / $8,195.52 / $9,060.08	Professional		$7,559.68	$8,195.52	$9,060.08
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 $1,149.52 / $1,262.26 / $1,652.97	Facility		$1,149.52	$1,262.26	$1,652.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $989.39 / $1,025.15 / $5,251.05	Professional		$989.39	$1,025.15	$5,251.05
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,651.00 / $29,312.00	Facility		$7,212.00	$13,651.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $887.60 / $1,204.58 / $2,367.55	Professional		$887.60	$1,204.58	$2,367.55