Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,256.22 / $5,545.00 / $17,133.00	Facility		$1,256.22	$5,545.00	$17,133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.63 / $234.84 / $252.96	Professional		$174.63	$234.84	$252.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,115.00 / $4,576.00 / $9,589.00	Facility		$2,115.00	$4,576.00	$9,589.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.87 / $304.89 / $584.84	Professional		$87.87	$304.89	$584.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $130.04 / $185.77 / $452.85	Professional		$130.04	$185.77	$452.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.56 / $301.99 / $556.78	Professional		$192.56	$301.99	$556.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.83 / $173.30 / $302.30	Professional		$66.83	$173.30	$302.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $405.52 / $828.08 / $903.07	Facility		$405.52	$828.08	$903.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,292.08 / $1,348.00 / $1,547.40	Professional		$1,292.08	$1,348.00	$1,547.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.12 / $183.55 / $286.66	Facility		$79.12	$183.55	$286.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.96 / $261.20 / $546.26	Professional		$82.96	$261.20	$546.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $65.47 / $80.01 / $235.80	Professional		$65.47	$80.01	$235.80
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,551.00 / $6,920.00	Facility		$548.00	$1,551.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $145.80 / $257.55 / $597.05	Professional		$145.80	$257.55	$597.05