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 $63.00 / $75.39 / $96.21	Professional		$63.00	$75.39	$96.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,108.00 / $7,270.00 / $13,998.00	Facility		$3,108.00	$7,270.00	$13,998.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.76 / $342.62 / $565.32	Professional		$141.76	$342.62	$565.32
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $1,638.51	Facility		$65.80	$100.00	$1,638.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.26 / $58.90 / $68.65	Professional		$56.26	$58.90	$68.65
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 $168.32 / $343.65 / $374.35	Facility		$168.32	$343.65	$374.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $536.55 / $552.16 / $643.95	Professional		$536.55	$552.16	$643.95
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 $84.67 / $94.57 / $124.42	Facility		$84.67	$94.57	$124.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.22 / $68.65 / $340.50	Professional		$57.22	$68.65	$340.50
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $6,323.00	Facility		$587.00	$1,551.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $85.42 / $169.51	Professional		$61.44	$85.42	$169.51