Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,314.00 / $17,133.00	Facility		$1,919.00	$6,314.00	$17,133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.32 / $137.87 / $172.45	Professional		$123.32	$137.87	$172.45
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 $37.14 / $87.61 / $141.11	Professional		$37.14	$87.61	$141.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $179.79 / $324.86	Facility		$92.60	$179.79	$324.86
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.67 / $110.71 / $129.13	Professional		$105.67	$110.71	$129.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $303.73 / $646.40 / $705.04	Facility		$303.73	$646.40	$705.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $769.00 / $781.34 / $1,207.20	Professional		$769.00	$781.34	$1,207.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $135.80 / $175.06 / $220.89	Facility		$135.80	$175.06	$220.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.42 / $111.33 / $142.90	Professional		$107.42	$111.33	$142.90
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 $121.35 / $169.51 / $362.29	Professional		$121.35	$169.51	$362.29