Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.31 / $9,639.00 / $19,011.00	Facility		$79.31	$9,639.00	$19,011.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.95 / $75.30 / $90.84	Professional		$52.95	$75.30	$90.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.81 / $64.06 / $93.80	Professional		$49.81	$64.06	$93.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.60 / $97.90 / $1,514.82	Facility		$60.60	$97.90	$1,514.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $34.52 / $61.46 / $117.81	Professional		$34.52	$61.46	$117.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.60 / $59.23 / $141.82	Facility		$43.60	$59.23	$141.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.18 / $60.28 / $346.12	Professional		$56.18	$60.28	$346.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.07 / $67.12 / $140.11	Professional		$31.07	$67.12	$140.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $170.83 / $191.93 / $384.94	Facility		$170.83	$191.93	$384.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $534.55 / $550.08 / $620.54	Professional		$534.55	$550.08	$620.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.77 / $71.78 / $105.63	Facility		$34.77	$71.78	$105.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.52 / $56.21 / $124.85	Professional		$34.52	$56.21	$124.85
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.64 / $40.76 / $99.73	Professional		$29.64	$40.76	$99.73
United Facility/Professional Professional Modifier Low / Median / High Price $59.67 / $85.50 / $194.24	Professional		$59.67	$85.50	$194.24