Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.85 / $368.02 / $883.30	Facility		$164.85	$368.02	$883.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.58 / $296.70 / $355.12	Professional		$201.58	$296.70	$355.12
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 $284.23 / $308.72 / $423.88	Professional		$284.23	$308.72	$423.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.25 / $134.91 / $504.52	Professional		$40.25	$134.91	$504.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.34 / $426.56 / $6,419.11	Facility		$87.34	$426.56	$6,419.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,398.52 / $1,548.07 / $1,548.07	Professional		$1,398.52	$1,548.07	$1,548.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.44 / $212.69 / $450.67	Professional		$37.44	$212.69	$450.67
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 $1,521.55 / $1,555.83 / $2,509.65	Professional		$1,521.55	$1,555.83	$2,509.65
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 $44.56 / $303.83 / $539.12	Facility		$44.56	$303.83	$539.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.70 / $71.91 / $527.53	Professional		$40.70	$71.91	$527.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $36.10 / $49.63 / $429.74	Professional		$36.10	$49.63	$429.74
United Facility/Professional Facility Modifier Low / Median / High Price $348.70 / $1,618.03 / $1,618.03	Facility		$348.70	$1,618.03	$1,618.03
United Facility/Professional Professional Modifier Low / Median / High Price $254.65 / $323.36 / $710.19	Professional		$254.65	$323.36	$710.19