Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.86 / $9,674.00 / $19,860.00	Facility		$142.86	$9,674.00	$19,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.86 / $142.86 / $207.82	Professional		$142.86	$142.86	$207.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,639.00 / $5,870.00 / $11,400.00	Facility		$2,639.00	$5,870.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.10 / $87.80 / $176.30	Professional		$60.10	$87.80	$176.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $1,804.92	Facility		$66.09	$100.00	$1,804.92
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $16.91 / $24.15 / $46.18	Professional		$16.91	$24.15	$46.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.03 / $87.70 / $109.81	Professional		$84.03	$87.70	$109.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.28 / $23.95 / $42.26	Professional		$16.28	$23.95	$42.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $255.57 / $1,033.95 / $1,182.70	Facility		$255.57	$1,033.95	$1,182.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,210.85 / $1,259.48 / $1,402.96	Professional		$1,210.85	$1,259.48	$1,402.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.02 / $27.72 / $151.43	Facility		$20.02	$27.72	$151.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $26.94 / $87.70	Professional		$16.78	$26.94	$87.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.43 / $28.45	Professional		$14.13	$19.43	$28.45
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $5,830.00	Facility		$587.00	$1,551.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $285.95 / $422.59	Professional		$58.88	$285.95	$422.59