Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.72 / $822.13 / $1,472.60	Facility		$228.72	$822.13	$1,472.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.75 / $174.02 / $453.31	Professional		$150.75	$174.02	$453.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $486.00 / $876.00	Facility		$203.00	$486.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.78 / $276.07 / $2,238.83	Professional		$153.78	$276.07	$2,238.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $676.97 / $967.10 / $2,431.19	Professional		$676.97	$967.10	$2,431.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $408.74 / $503.03 / $841.52	Professional		$408.74	$503.03	$841.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,505.02 / $6,592.43 / $6,592.43	Facility		$2,505.02	$6,592.43	$6,592.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,299.47 / $6,299.47 / $10,389.98	Professional		$6,299.47	$6,299.47	$10,389.98
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 $442.32 / $593.29 / $965.34	Facility		$442.32	$593.29	$965.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $216.08 / $442.32 / $738.12	Professional		$216.08	$442.32	$738.12
United Facility/Professional Facility Modifier Low / Median / High Price $600.66 / $600.66 / $600.66	Facility		$600.66	$600.66	$600.66
United Facility/Professional Professional Modifier Low / Median / High Price $138.62 / $203.44 / $521.57	Professional		$138.62	$203.44	$521.57