Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $437.04 / $10,004.00 / $22,788.00	Facility		$437.04	$10,004.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.07 / $431.08 / $519.46	Professional		$311.07	$431.08	$519.46
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 $3,215.44 / $3,934.64 / $4,047.84	Facility		$3,215.44	$3,934.64	$4,047.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,092.00 / $3,180.32 / $3,705.15	Professional		$3,092.00	$3,180.32	$3,705.15
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 $416.88 / $545.03 / $713.54	Facility		$416.88	$545.03	$713.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $438.35 / $438.35 / $591.62	Professional		$438.35	$438.35	$591.62
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 $365.96 / $505.80 / $1,078.20	Professional		$365.96	$505.80	$1,078.20