Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.68 / $22.11 / $59.08	Facility		$6.68	$22.11	$59.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $21.00 / $666.56	Professional		$6.68	$21.00	$666.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $486.00 / $876.00	Facility		$203.00	$486.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.37 / $195.40 / $953.29	Professional		$14.37	$195.40	$953.29
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 Facility Modifier Low / Median / High Price $140.93 / $140.93 / $140.93	Facility		$140.93	$140.93	$140.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.97 / $88.97 / $343.18	Professional		$88.97	$88.97	$343.18
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 $84.81 / $995.80 / $995.80	Facility		$84.81	$995.80	$995.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,657.26 / $3,657.26 / $3,657.26	Professional		$3,657.26	$3,657.26	$3,657.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $85.00	Professional		$60.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.35 / $60.61 / $215.12	Facility		$7.35	$60.61	$215.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.46 / $47.83 / $1,261.15	Professional		$44.46	$47.83	$1,261.15
United Facility/Professional Facility Modifier Low / Median / High Price $144.71 / $144.71 / $144.71	Facility		$144.71	$144.71	$144.71
United Facility/Professional Professional Modifier Low / Median / High Price $769.91 / $1,105.20 / $2,488.84	Professional		$769.91	$1,105.20	$2,488.84