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 $529.91 / $597.34 / $761.68	Professional		$529.91	$597.34	$761.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,573.00 / $6,978.00 / $13,707.00	Facility		$3,573.00	$6,978.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.15 / $57.50 / $97.76	Professional		$40.15	$57.50	$97.76
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 $412.68 / $432.30 / $504.16	Professional		$412.68	$432.30	$504.16
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 $1,235.65 / $2,520.51 / $2,747.78	Facility		$1,235.65	$2,520.51	$2,747.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,937.28 / $4,051.68 / $4,716.38	Professional		$3,937.28	$4,051.68	$4,716.38
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 $597.58 / $693.96 / $922.75	Facility		$597.58	$693.96	$922.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $419.59 / $504.16 / $578.29	Professional		$419.59	$504.16	$578.29
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 $485.46 / $648.89 / $1,372.04	Professional		$485.46	$648.89	$1,372.04