Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.86 / $9,690.00 / $21,960.90	Facility		$253.86	$9,690.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.70 / $252.17 / $321.52	Professional		$223.70	$252.17	$321.52
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 $182.68 / $221.70 / $338.75	Professional		$182.68	$221.70	$338.75
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 $562.94 / $1,147.49 / $1,251.25	Facility		$562.94	$1,147.49	$1,251.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,793.76 / $1,846.48 / $2,148.30	Professional		$1,793.76	$1,846.48	$2,148.30
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 $283.12 / $328.45 / $416.35	Facility		$283.12	$328.45	$416.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $254.25 / $254.25 / $263.45	Professional		$254.25	$254.25	$263.45
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 $212.52 / $311.19 / $776.19	Professional		$212.52	$311.19	$776.19