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 $297.26 / $447.74 / $671.61	Professional		$297.26	$447.74	$671.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $395.87 / $875.15	Facility		$98.20	$395.87	$875.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.44 / $517.25 / $1,719.92	Facility		$147.44	$517.25	$1,719.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $879.81 / $879.81 / $935.47	Professional		$879.81	$879.81	$935.47
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 $644.99 / $2,613.82 / $2,613.82	Facility		$644.99	$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 $206.83 / $341.22 / $475.76	Facility		$206.83	$341.22	$475.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $208.39 / $224.15 / $879.81	Professional		$208.39	$224.15	$879.81
United Facility/Professional Facility Modifier Low / Median / High Price $229.70 / $241.74 / $241.74	Facility		$229.70	$241.74	$241.74
United Facility/Professional Professional Modifier Low / Median / High Price $176.24 / $256.14 / $679.34	Professional		$176.24	$256.14	$679.34