Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.00 / $5,829.00 / $18,252.00	Facility		$1,174.00	$5,829.00	$18,252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.90 / $325.39 / $390.24	Professional		$49.90	$325.39	$390.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,988.00 / $5,863.00 / $11,400.00	Facility		$1,988.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $243.63 / $499.20	Professional		$103.00	$243.63	$499.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $79.00 / $91.00	Facility		$77.09	$79.00	$91.00
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 $60.26 / $750.00 / $5,431.00	Facility		$60.26	$750.00	$5,431.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $38.90 / $216.71	Professional		$35.29	$38.90	$216.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.77 / $638.07 / $801.00	Professional		$257.77	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $103.89 / $410.06 / $410.06	Facility		$103.89	$410.06	$410.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,055.58 / $1,055.58 / $1,055.58	Professional		$1,055.58	$1,055.58	$1,055.58
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 $54.54 / $66.25 / $392.35	Facility		$54.54	$66.25	$392.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $46.95 / $216.71	Professional		$35.29	$46.95	$216.71
United Facility/Professional Facility Modifier Low / Median / High Price $379.00 / $1,458.00 / $5,830.00	Facility		$379.00	$1,458.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $234.60 / $394.91 / $888.60	Professional		$234.60	$394.91	$888.60