Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.75 / $9,690.00 / $21,960.90	Facility		$323.75	$9,690.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.30 / $321.61 / $410.02	Professional		$285.30	$321.61	$410.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $7,035.00 / $24,323.00	Facility		$1,200.00	$7,035.00	$24,323.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $365.36 / $443.40 / $666.87	Professional		$365.36	$443.40	$666.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.07 / $251.49 / $336.43	Professional		$240.07	$251.49	$336.43
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 $718.79 / $1,465.35 / $1,597.81	Facility		$718.79	$1,465.35	$1,597.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.40 / $2,357.76 / $2,743.73	Professional		$2,290.40	$2,357.76	$2,743.73
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 $361.51 / $419.39 / $531.61	Facility		$361.51	$419.39	$531.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $244.09 / $293.30 / $336.43	Professional		$244.09	$293.30	$336.43
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,159.00 / $20,279.00	Facility		$2,009.00	$5,159.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $271.04 / $395.67 / $969.78	Professional		$271.04	$395.67	$969.78