Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,587.51 / $6,695.00 / $17,393.00	Facility		$1,587.51	$6,695.00	$17,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $710.37 / $801.92 / $1,033.90	Professional		$710.37	$801.92	$1,033.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $5,944.00 / $13,697.00	Facility		$2,160.00	$5,944.00	$13,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.51 / $868.86 / $1,698.05	Professional		$707.51	$868.86	$1,698.05
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,908.14	Facility		$66.00	$100.00	$7,908.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $557.83 / $796.90 / $1,775.65	Professional		$557.83	$796.90	$1,775.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $805.91 / $1,047.45 / $2,252.17	Professional		$805.91	$1,047.45	$2,252.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $971.00 / $1,359.00 / $2,995.00	Professional		$971.00	$1,359.00	$2,995.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,074.02 / $11,500.00 / $26,542.00	Facility		$5,074.02	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,729.93 / $7,794.98 / $8,039.12	Professional		$7,729.93	$7,794.98	$8,039.12
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 $758.28 / $1,083.89 / $1,503.90	Facility		$758.28	$1,083.89	$1,503.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $800.25 / $1,037.19 / $2,277.44	Professional		$800.25	$1,037.19	$2,277.44
United Facility/Professional Facility Modifier Low / Median / High Price $5,331.00 / $9,810.00 / $21,278.00	Facility		$5,331.00	$9,810.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $693.08 / $930.00 / $2,062.52	Professional		$693.08	$930.00	$2,062.52