Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $244.00 / $244.00	Facility		$244.00	$244.00	$244.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $17.82 / $244.00	Professional		$12.39	$17.82	$244.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,563.00 / $4,505.00 / $6,240.00	Facility		$1,563.00	$4,505.00	$6,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $21.69 / $256.87	Professional		$16.14	$21.69	$256.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,509.03	Facility		$66.00	$100.00	$1,509.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $90.00 / $200.54	Professional		$63.00	$90.00	$200.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.79 / $200.46 / $587.45	Facility		$163.79	$200.46	$587.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.18 / $19.98 / $39.29	Professional		$18.18	$19.98	$39.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $34.15 / $56.54	Professional		$26.52	$34.15	$56.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $85.00 / $90.49	Facility		$80.00	$85.00	$90.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $102.53 / $126.77 / $142.72	Professional		$102.53	$126.77	$142.72
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 $16.02 / $39.61 / $280.60	Facility		$16.02	$39.61	$280.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $31.59 / $50.61	Professional		$21.74	$31.59	$50.61
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,523.00 / $6,323.00	Facility		$587.00	$1,523.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $16.66 / $36.18	Professional		$12.43	$16.66	$36.18