Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $498.88 / $10,004.00 / $22,788.00	Facility		$498.88	$10,004.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.04 / $475.89 / $565.72	Professional		$267.04	$475.89	$565.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,434.00 / $11,825.00 / $24,301.00	Facility		$3,434.00	$11,825.00	$24,301.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.49 / $229.55 / $370.36	Professional		$179.49	$229.55	$370.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $62.08 / $97.00 / $1,684.75	Facility		$62.08	$97.00	$1,684.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.77 / $638.07 / $801.00	Professional		$257.77	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,056.64 / $2,516.80 / $2,589.44	Facility		$2,056.64	$2,516.80	$2,589.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,197.25 / $2,197.25 / $2,369.63	Professional		$2,197.25	$2,197.25	$2,369.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $85.00	Professional		$60.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $325.76 / $381.63 / $558.22	Facility		$325.76	$381.63	$558.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $280.38 / $280.38 / $676.33	Professional		$280.38	$280.38	$676.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,055.00 / $4,820.00 / $20,279.00	Facility		$1,055.00	$4,820.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $373.00 / $577.65 / $1,270.70	Professional		$373.00	$577.65	$1,270.70