Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,695.00 / $17,538.00	Facility		$1,820.00	$6,695.00	$17,538.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.50 / $367.50 / $1,347.26	Professional		$367.50	$367.50	$1,347.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,639.00 / $5,944.00 / $11,456.00	Facility		$2,639.00	$5,944.00	$11,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.55 / $214.24 / $661.00	Professional		$152.55	$214.24	$661.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,138.75	Facility		$66.00	$100.00	$8,138.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $169.93 / $242.76 / $531.54	Professional		$169.93	$242.76	$531.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.00 / $330.63 / $488.85	Professional		$207.00	$330.63	$488.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $393.93 / $1,619.00	Professional		$120.00	$393.93	$1,619.00
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 $2,493.59 / $2,493.59 / $2,575.88	Professional		$2,493.59	$2,493.59	$2,575.88
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 $367.50 / $385.88 / $606.38	Facility		$367.50	$385.88	$606.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $207.00 / $207.00 / $330.63	Professional		$207.00	$207.00	$330.63
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 $613.20 / $613.20 / $613.20	Professional		$613.20	$613.20	$613.20