Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,382.00 / $16,713.00	Facility		$1,208.95	$5,382.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.05 / $187.42 / $238.86	Professional		$163.05	$187.42	$238.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,699.00 / $7,334.00 / $15,399.00	Facility		$3,699.00	$7,334.00	$15,399.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $397.14 / $523.97 / $852.02	Professional		$397.14	$523.97	$852.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $9,778.71	Facility		$63.50	$100.00	$9,778.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.76 / $131.76 / $153.69	Professional		$125.76	$131.76	$153.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $120.00 / $393.93	Professional		$120.00	$120.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $376.63 / $769.02 / $838.04	Facility		$376.63	$769.02	$838.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,199.92 / $1,236.56 / $1,436.78	Professional		$1,199.92	$1,236.56	$1,436.78
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 $187.42 / $211.50 / $281.26	Facility		$187.42	$211.50	$281.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $127.86 / $153.69 / $176.25	Professional		$127.86	$153.69	$176.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,060.00 / $5,319.00 / $17,075.00	Facility		$2,060.00	$5,319.00	$17,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $152.28 / $208.48 / $476.86	Professional		$152.28	$208.48	$476.86