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 $343.06 / $1,000.00 / $1,000.00	Professional		$343.06	$1,000.00	$1,000.00
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 $238.57 / $420.37 / $2,438.33	Professional		$238.57	$420.37	$2,438.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $1,902.52	Facility		$66.09	$100.00	$1,902.52
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 $370.07 / $370.07 / $443.39	Professional		$370.07	$370.07	$443.39
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 $4,683.97 / $6,111.70 / $6,287.26	Facility		$4,683.97	$6,111.70	$6,287.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,744.72 / $2,822.88 / $3,287.93	Professional		$2,744.72	$2,822.88	$3,287.93
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 $423.97 / $469.31 / $840.30	Facility		$423.97	$469.31	$840.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $364.91 / $378.11 / $1,808.56	Professional		$364.91	$378.11	$1,808.56
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 $303.45 / $415.66 / $818.16	Professional		$303.45	$415.66	$818.16