Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,322.00 / $16,713.00	Facility		$1,208.95	$5,322.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.47 / $208.66 / $260.25	Professional		$28.47	$208.66	$260.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $4,151.00 / $6,240.00	Facility		$391.00	$4,151.00	$6,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $19.29 / $123.89	Professional		$16.39	$19.29	$123.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,509.03	Facility		$66.00	$100.00	$1,509.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $19.10 / $42.40	Professional		$13.37	$19.10	$42.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $17.46 / $21.94	Professional		$16.73	$17.46	$21.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.59 / $20.53 / $38.20	Professional		$15.59	$20.53	$38.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $45.84 / $166.51 / $190.52	Facility		$45.84	$166.51	$190.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $286.30 / $286.30 / $286.30	Professional		$286.30	$286.30	$286.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.10 / $22.99 / $281.23	Facility		$19.10	$22.99	$281.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $19.10 / $28.91	Professional		$16.73	$19.10	$28.91
United Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,523.00 / $6,323.00	Facility		$526.00	$1,523.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.21 / $28.19 / $49.18	Professional		$21.21	$28.19	$49.18