Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $6,025.60 / $16,982.44	Facility		$1,778.28	$6,025.60	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $181.97 / $257.04	Professional		$131.83	$181.97	$257.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,317.64 / $15,848.93	Facility		$4,570.88	$8,317.64	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $549.54 / $870.96	Professional		$398.11	$549.54	$870.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $11,748.98	Facility		$60.26	$100.00	$11,748.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $398.11	Professional		$120.23	$120.23	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $1,445.44	Professional		$1,202.26	$1,445.44	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $213.80 / $288.40	Facility		$165.96	$213.80	$288.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $181.97 / $794.33	Professional		$173.78	$181.97	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $6,165.95 / $18,620.87	Facility		$2,041.74	$6,165.95	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $208.93 / $407.38	Professional		$151.36	$208.93	$407.38