Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.79 / $1,024.00 / $2,610.00	Facility		$201.79	$1,024.00	$2,610.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.38 / $211.49 / $275.00	Professional		$185.38	$211.49	$275.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $716.00 / $1,396.00 / $4,019.00	Facility		$716.00	$1,396.00	$4,019.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.64 / $442.62 / $663.93	Professional		$297.64	$442.62	$663.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $301.14 / $679.00	Facility		$97.00	$301.14	$679.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.16 / $399.46 / $1,266.68	Facility		$166.16	$399.46	$1,266.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $268.82 / $335.00	Professional		$200.00	$268.82	$335.00
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 $478.78 / $2,613.82 / $2,613.82	Facility		$478.78	$2,613.82	$2,613.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,293.17 / $1,293.17 / $1,679.48	Professional		$1,293.17	$1,293.17	$1,679.48
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 $195.34 / $269.50 / $414.86	Facility		$195.34	$269.50	$414.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $268.01 / $335.00	Professional		$200.00	$268.01	$335.00
United Facility/Professional Facility Modifier Low / Median / High Price $187.67 / $187.67 / $298.01	Facility		$187.67	$187.67	$298.01
United Facility/Professional Professional Modifier Low / Median / High Price $136.79 / $186.56 / $467.61	Professional		$136.79	$186.56	$467.61