Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,196.61 / $1,758.00 / $3,923.00	Facility		$1,196.61	$1,758.00	$3,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.71 / $1,131.59 / $1,387.33	Professional		$331.71	$1,131.59	$1,387.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $614.00 / $2,393.00	Facility		$203.00	$614.00	$2,393.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.86 / $354.82 / $436.61	Professional		$285.86	$354.82	$436.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $796.48 / $3,106.60	Facility		$92.60	$796.48	$3,106.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $120.24 / $292.14 / $630.73	Professional		$120.24	$292.14	$630.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.86 / $1,924.86 / $4,878.00	Facility		$131.86	$1,924.86	$4,878.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,755.54 / $1,755.54 / $1,755.54	Professional		$1,755.54	$1,755.54	$1,755.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.97 / $277.07 / $563.41	Professional		$115.97	$277.07	$563.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,526.10 / $2,894.15 / $2,894.15	Facility		$2,526.10	$2,894.15	$2,894.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,909.97 / $1,952.60 / $3,150.90	Professional		$1,909.97	$1,952.60	$3,150.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $60.00 / $85.00	Professional		$30.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.46 / $494.28 / $1,256.45	Facility		$138.46	$494.28	$1,256.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $127.42 / $225.10 / $637.44	Professional		$127.42	$225.10	$637.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $111.54 / $153.36 / $533.20	Professional		$111.54	$153.36	$533.20
United Facility/Professional Facility Modifier Low / Median / High Price $977.78 / $977.78 / $1,618.03	Facility		$977.78	$977.78	$1,618.03
United Facility/Professional Professional Modifier Low / Median / High Price $319.72 / $406.01 / $895.96	Professional		$319.72	$406.01	$895.96