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 $367.50 / $367.50 / $422.62	Professional		$367.50	$367.50	$422.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $6,109.00 / $13,697.00	Facility		$2,675.00	$6,109.00	$13,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.19 / $206.00 / $3,190.18	Professional		$147.19	$206.00	$3,190.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,263.42	Facility		$66.00	$100.00	$8,263.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $169.93 / $242.76 / $538.92	Professional		$169.93	$242.76	$538.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.63 / $814.75 / $7,000.00	Professional		$330.63	$814.75	$7,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,532.00 / $2,143.00 / $4,723.00	Professional		$1,532.00	$2,143.00	$4,723.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,295.27 / $2,295.27 / $2,371.01	Professional		$2,295.27	$2,295.27	$2,371.01
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 $363.25 / $367.50 / $525.53	Facility		$363.25	$367.50	$525.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $330.63 / $345.00 / $7,000.00	Professional		$330.63	$345.00	$7,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,670.00 / $9,908.00 / $21,278.00	Facility		$5,670.00	$9,908.00	$21,278.00