Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $8,050.00 / $19,011.00	Facility		$1,992.00	$8,050.00	$19,011.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.33 / $321.38 / $562.57	Professional		$279.33	$321.38	$562.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,437.00 / $10,117.00 / $19,252.00	Facility		$4,437.00	$10,117.00	$19,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $401.18 / $580.27 / $903.41	Professional		$401.18	$580.27	$903.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $7,282.23	Facility		$66.09	$100.00	$7,282.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.10 / $304.41 / $468.75	Professional		$276.10	$304.41	$468.75
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 $1,683.75 / $41,872.44 / $41,872.44	Facility		$1,683.75	$41,872.44	$41,872.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,590.40 / $2,665.20 / $3,104.25	Professional		$2,590.40	$2,665.20	$3,104.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $387.16 / $461.02 / $601.20	Facility		$387.16	$461.02	$601.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $276.10 / $304.41 / $380.51	Professional		$276.10	$304.41	$380.51
United Facility/Professional Facility Modifier Low / Median / High Price $8,830.00 / $18,315.00 / $45,545.00	Facility		$8,830.00	$18,315.00	$45,545.00
United Facility/Professional Professional Modifier Low / Median / High Price $271.97 / $401.53 / $838.29	Professional		$271.97	$401.53	$838.29