Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $3,000.00 / $3,000.00	Professional		$3,000.00	$3,000.00	$3,000.00
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 $279.39 / $324.36 / $423.88	Professional		$279.39	$324.36	$423.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $139.34 / $273.73	Facility		$96.60	$139.34	$273.73
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $44.37 / $49.30 / $120.18	Professional		$44.37	$49.30	$120.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.04 / $266.14 / $483.01	Facility		$130.04	$266.14	$483.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $801.00	Professional		$393.93	$638.07	$801.00
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 $78.00 / $125.51 / $292.77	Facility		$78.00	$125.51	$292.77
United Facility/Professional Facility Modifier Low / Median / High Price $84.98 / $84.98 / $84.98	Facility		$84.98	$84.98	$84.98