Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $577.60 / $9,690.00 / $21,960.90	Facility		$577.60	$9,690.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.60 / $577.60 / $993.07	Professional		$577.60	$577.60	$993.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,696.00 / $7,309.00 / $15,328.00	Facility		$2,696.00	$7,309.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $875.43 / $1,861.79 / $4,273.47	Professional		$875.43	$1,861.79	$4,273.47
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $5,835.42	Facility		$66.90	$100.00	$5,835.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $592.66 / $846.65 / $1,886.51	Professional		$592.66	$846.65	$1,886.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $705.31 / $4,196.93 / $5,720.67	Facility		$705.31	$4,196.93	$5,720.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $657.38 / $657.38 / $821.72	Professional		$657.38	$657.38	$821.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,091.49 / $1,309.79 / $2,164.92	Professional		$1,091.49	$1,309.79	$2,164.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,716.26 / $16,743.30 / $16,743.30	Facility		$5,716.26	$16,743.30	$16,743.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,091.12 / $7,329.36 / $8,781.98	Professional		$7,091.12	$7,329.36	$8,781.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $825.97 / $1,364.36 / $1,746.38	Facility		$825.97	$1,364.36	$1,746.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,091.49 / $1,309.79 / $1,443.29	Professional		$1,091.49	$1,309.79	$1,443.29
United Facility/Professional Facility Modifier Low / Median / High Price $5,835.00 / $11,350.00 / $25,907.00	Facility		$5,835.00	$11,350.00	$25,907.00
United Facility/Professional Professional Modifier Low / Median / High Price $758.68 / $1,060.83 / $2,626.52	Professional		$758.68	$1,060.83	$2,626.52