Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.76 / $9,665.00 / $19,860.00	Facility		$114.76	$9,665.00	$19,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.86 / $108.97 / $131.66	Professional		$98.86	$108.97	$131.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,639.00 / $5,944.00 / $11,456.00	Facility		$2,639.00	$5,944.00	$11,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.71 / $150.00 / $240.60	Professional		$100.71	$150.00	$240.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $2,741.10	Facility		$66.09	$100.00	$2,741.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $99.84 / $126.27 / $249.65	Professional		$99.84	$126.27	$249.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.86 / $126.27 / $220.97	Professional		$89.86	$126.27	$220.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $267.67 / $6,887.55 / $6,887.55	Facility		$267.67	$6,887.55	$6,887.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.73 / $150.76 / $177.86	Facility		$110.73	$150.76	$177.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.99 / $95.35 / $99.84	Professional		$93.99	$95.35	$99.84
United Facility/Professional Facility Modifier Low / Median / High Price $4,035.00 / $7,454.00 / $14,743.00	Facility		$4,035.00	$7,454.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.80 / $145.78 / $382.87	Professional		$92.80	$145.78	$382.87