Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,310.00 / $16,713.00	Facility		$1,208.95	$5,310.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.54 / $749.38 / $1,000.00	Professional		$174.54	$749.38	$1,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,145.00 / $4,604.00 / $9,274.00	Facility		$2,145.00	$4,604.00	$9,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $208.21 / $350.77	Professional		$48.71	$208.21	$350.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $75.95 / $100.00 / $952.70	Facility		$75.95	$100.00	$952.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $170.00 / $425.09	Professional		$119.00	$170.00	$425.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.62 / $177.68 / $207.22	Professional		$169.62	$177.68	$207.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.77 / $148.04 / $279.63	Professional		$76.77	$148.04	$279.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $507.82 / $1,525.91 / $1,663.88	Facility		$507.82	$1,525.91	$1,663.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.89 / $786.86 / $1,071.63	Facility		$92.89	$786.86	$1,071.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.77 / $169.62 / $190.16	Professional		$76.77	$169.62	$190.16
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $5,830.00	Facility		$587.00	$1,551.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $37.70 / $59.22 / $180.28	Professional		$37.70	$59.22	$180.28