Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.30 / $10,004.00 / $22,788.00	Facility		$409.30	$10,004.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.54 / $403.69 / $486.48	Professional		$291.54	$403.69	$486.48
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 / $231.48 / $376.15	Professional		$179.49	$231.48	$376.15
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 $3,013.76 / $3,687.68 / $3,793.60	Facility		$3,013.76	$3,687.68	$3,793.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,898.00 / $2,980.40 / $3,472.73	Professional		$2,898.00	$2,980.40	$3,472.73
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 $390.42 / $510.77 / $668.67	Facility		$390.42	$510.77	$668.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $410.83 / $410.83 / $554.47	Professional		$410.83	$410.83	$554.47
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 $342.72 / $486.54 / $1,034.50	Professional		$342.72	$486.54	$1,034.50