Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,388.00 / $10,069.00 / $20,509.00	Facility		$4,388.00	$10,069.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,187.00 / $4,573.00 / $18,483.00	Professional		$4,187.00	$4,573.00	$18,483.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,113.00 / $7,303.00 / $15,328.00	Facility		$3,113.00	$7,303.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,157.28 / $1,457.54 / $3,404.00	Professional		$1,157.28	$1,457.54	$3,404.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $2,261.53	Facility		$65.90	$100.00	$2,261.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
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 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,123.00 / $18,493.00	Facility		$2,009.00	$5,123.00	$18,493.00