Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,201.00 / $1,201.00 / $1,201.00	Professional		$1,201.00	$1,201.00	$1,201.00
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 / $358.02 / $423.88	Professional		$285.86	$358.02	$423.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $100.00 / $1,852.64	Facility		$66.90	$100.00	$1,852.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $34.51 / $49.30 / $101.35	Professional		$34.51	$49.30	$101.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.94 / $2,656.95 / $4,905.07	Facility		$1,096.94	$2,656.95	$4,905.07
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 $30.00 / $60.00 / $85.00	Professional		$30.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,020.85 / $1,201.00 / $3,544.00	Facility		$1,020.85	$1,201.00	$3,544.00