Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,841.00 / $6,302.00 / $18,681.00	Facility		$1,841.00	$6,302.00	$18,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $126.00 / $4,573.00	Professional		$126.00	$126.00	$4,573.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,516.00 / $4,343.00 / $8,557.00	Facility		$1,516.00	$4,343.00	$8,557.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.47 / $167.44 / $293.06	Professional		$144.47	$167.44	$293.06
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $70.50 / $121.86 / $2,103.63	Facility		$70.50	$121.86	$2,103.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.46 / $248.50 / $587.45	Facility		$200.46	$248.50	$587.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.77 / $638.07 / $801.00	Professional		$257.77	$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 $126.00 / $126.00 / $248.50	Facility		$126.00	$126.00	$248.50
United Facility/Professional Facility Modifier Low / Median / High Price $379.00 / $1,458.00 / $5,830.00	Facility		$379.00	$1,458.00	$5,830.00