Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $661.42 / $3,989.00 / $16,008.00	Facility		$661.42	$3,989.00	$16,008.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.43 / $250.48 / $312.58	Professional		$134.43	$250.48	$312.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $293.00 / $2,822.00 / $20,146.00	Facility		$293.00	$2,822.00	$20,146.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.13 / $137.40 / $259.66	Professional		$7.13	$137.40	$259.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $801.00	Professional		$393.93	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $286.36 / $622.16 / $711.79	Facility		$286.36	$622.16	$711.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,114.76 / $1,114.76 / $1,148.33	Professional		$1,114.76	$1,114.76	$1,148.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $167.24 / $188.71 / $274.64	Facility		$167.24	$188.71	$274.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $149.85 / $1,131.00	Professional		$140.99	$149.85	$1,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $187.35 / $202.95 / $531.46	Professional		$187.35	$202.95	$531.46