Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,631.00 / $17,393.00	Facility		$1,820.00	$6,631.00	$17,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $601.90 / $987.02 / $1,272.47	Professional		$601.90	$987.02	$1,272.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $7,007.00 / $13,707.00	Facility		$2,675.00	$7,007.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.46 / $1,066.00 / $2,120.21	Professional		$870.46	$1,066.00	$2,120.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,826.58	Facility		$66.00	$100.00	$7,826.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $557.83 / $796.90 / $1,785.95	Professional		$557.83	$796.90	$1,785.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $985.40 / $1,276.17 / $2,802.90	Professional		$985.40	$1,276.17	$2,802.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,619.00 / $3,011.00 / $6,635.00	Professional		$1,619.00	$3,011.00	$6,635.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,243.84 / $7,835.04 / $26,542.00	Facility		$6,243.84	$7,835.04	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,514.93 / $9,591.98 / $9,895.52	Professional		$9,514.93	$9,591.98	$9,895.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $895.32 / $1,318.64 / $1,823.07	Facility		$895.32	$1,318.64	$1,823.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $985.40 / $1,259.57 / $2,927.58	Professional		$985.40	$1,259.57	$2,927.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,348.00 / $4,243.00 / $9,131.00	Facility		$2,348.00	$4,243.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $853.19 / $1,144.74 / $2,490.63	Professional		$853.19	$1,144.74	$2,490.63