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 $247.18 / $325.25 / $853.98	Professional		$247.18	$325.25	$853.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $4,316.00 / $9,244.00	Facility		$1,500.00	$4,316.00	$9,244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.99 / $213.73 / $288.68	Professional		$161.99	$213.73	$288.68
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 $34.29 / $48.98 / $100.82	Professional		$34.29	$48.98	$100.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.96 / $717.60 / $2,151.00	Facility		$330.96	$717.60	$2,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.13 / $383.91 / $1,234.79	Professional		$307.13	$383.91	$1,234.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.08 / $54.77 / $85.72	Professional		$44.08	$54.77	$85.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $248.09 / $1,198.92 / $1,307.01	Facility		$248.09	$1,198.92	$1,307.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,758.75 / $1,786.43 / $2,151.44	Professional		$1,758.75	$1,786.43	$2,151.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $70.00 / $85.00	Professional		$60.00	$70.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.59 / $61.23 / $330.96	Facility		$50.59	$61.23	$330.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $85.14 / $439.04	Professional		$48.98	$85.14	$439.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $53.60 / $53.60	Professional		$38.97	$53.60	$53.60
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 $234.91 / $333.51 / $718.02	Professional		$234.91	$333.51	$718.02