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 / $19,368.00	Facility		$2,421.00	$9,008.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,044.07 / $1,400.00 / $1,400.00	Professional		$1,044.07	$1,400.00	$1,400.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,424.00 / $6,163.00 / $13,707.00	Facility		$2,424.00	$6,163.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,227.01 / $1,483.55 / $2,926.00	Professional		$1,227.01	$1,483.55	$2,926.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $2,261.53	Facility		$66.90	$100.00	$2,261.53
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 $5,980.00 / $5,980.00 / $5,980.00	Facility		$5,980.00	$5,980.00	$5,980.00
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 $9,318.60 / $17,132.00 / $17,132.00	Facility		$9,318.60	$17,132.00	$17,132.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,865.60 / $9,707.44 / $10,620.90	Professional		$8,865.60	$9,707.44	$10,620.90
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 $1,312.09 / $1,421.43 / $1,904.25	Facility		$1,312.09	$1,421.43	$1,904.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,129.27 / $1,170.13 / $5,843.53	Professional		$1,129.27	$1,170.13	$5,843.53
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,758.00 / $21,278.00	Facility		$4,728.00	$9,758.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,053.64 / $1,429.94 / $2,810.55	Professional		$1,053.64	$1,429.94	$2,810.55