Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,695.00 / $17,809.00	Facility		$1,820.00	$6,695.00	$17,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.95 / $534.88 / $699.02	Professional		$374.95	$534.88	$699.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,113.00 / $6,892.00 / $13,707.00	Facility		$3,113.00	$6,892.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $462.26 / $546.75 / $856.58	Professional		$462.26	$546.75	$856.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $9,231.33	Facility		$66.09	$100.00	$9,231.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.12 / $267.12 / $320.04	Professional		$267.12	$267.12	$320.04
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 $812.89 / $2,051.23 / $2,236.21	Facility		$812.89	$2,051.23	$2,236.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,853.12 / $3,294.40 / $3,628.13	Professional		$2,853.12	$3,294.40	$3,628.13
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 $426.65 / $481.31 / $669.10	Facility		$426.65	$481.31	$669.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $367.25 / $380.51 / $2,443.50	Professional		$367.25	$380.51	$2,443.50
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $6,323.00	Facility		$587.00	$1,551.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $440.10 / $619.05 / $1,215.38	Professional		$440.10	$619.05	$1,215.38