Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,390.00 / $17,013.00	Facility		$1,208.95	$5,390.00	$17,013.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.05 / $89.41 / $111.97	Professional		$76.05	$89.41	$111.97
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 $41.36 / $58.55 / $91.29	Professional		$41.36	$58.55	$91.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $1,975.17	Facility		$66.90	$100.00	$1,975.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.00 / $1,487.00 / $1,487.00	Facility		$1,487.00	$1,487.00	$1,487.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.09 / $76.18 / $143.83	Professional		$69.09	$76.18	$143.83
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 $203.56 / $771.85 / $771.85	Facility		$203.56	$771.85	$771.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $648.64 / $666.32 / $776.25	Professional		$648.64	$666.32	$776.25
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 $100.41 / $115.70 / $150.47	Facility		$100.41	$115.70	$150.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.09 / $83.02 / $391.50	Professional		$69.09	$83.02	$391.50
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,528.00 / $7,068.00	Facility		$587.00	$1,528.00	$7,068.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.08 / $99.13 / $198.03	Professional		$73.08	$99.13	$198.03