Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.00 / $5,322.00 / $16,713.00	Facility		$1,174.00	$5,322.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.87 / $73.94 / $99.71	Professional		$63.87	$73.94	$99.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,539.00 / $9,381.00	Facility		$1,787.00	$4,539.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $575.00 / $935.00	Professional		$500.00	$575.00	$935.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $7,864.42	Facility		$63.50	$100.00	$7,864.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $58.06 / $82.94 / $181.61	Professional		$58.06	$82.94	$181.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.69 / $69.84 / $132.91	Professional		$66.69	$69.84	$132.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.45 / $81.66 / $150.43	Professional		$49.45	$81.66	$150.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $199.57 / $437.49 / $476.90	Facility		$199.57	$437.49	$476.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $636.08 / $703.44 / $819.60	Professional		$636.08	$703.44	$819.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.94 / $81.97 / $119.08	Facility		$57.94	$81.97	$119.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.45 / $72.69 / $137.72	Professional		$49.45	$72.69	$137.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $42.31 / $58.18 / $102.14	Professional		$42.31	$58.18	$102.14
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,572.00 / $5,830.00	Facility		$587.00	$1,572.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.64 / $78.19 / $184.18	Professional		$58.64	$78.19	$184.18