Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $319.73 / $9,690.00 / $21,960.90	Facility		$319.73	$9,690.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.76 / $317.61 / $405.00	Professional		$281.76	$317.61	$405.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,275.00 / $7,407.00 / $15,399.00	Facility		$3,275.00	$7,407.00	$15,399.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.02 / $385.86 / $1,345.88	Professional		$295.02	$385.86	$1,345.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,804.58	Facility		$63.90	$100.00	$5,804.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.08 / $248.34 / $332.20	Professional		$237.08	$248.34	$332.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $709.80 / $1,447.20 / $1,577.95	Facility		$709.80	$1,447.20	$1,577.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,261.84 / $2,326.96 / $2,709.83	Professional		$2,261.84	$2,326.96	$2,709.83
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 $356.98 / $414.10 / $524.87	Facility		$356.98	$414.10	$524.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $241.06 / $289.58 / $332.20	Professional		$241.06	$289.58	$332.20
United Facility/Professional Professional Modifier Low / Median / High Price $267.68 / $391.96 / $961.85	Professional		$267.68	$391.96	$961.85