Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $9,674.00 / $19,011.00	Facility		$72.00	$9,674.00	$19,011.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.49 / $68.26 / $85.51	Professional		$60.49	$68.26	$85.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,491.00 / $4,604.00 / $6,240.00	Facility		$3,491.00	$4,604.00	$6,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.56 / $81.08 / $262.76	Professional		$53.56	$81.08	$262.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $1,617.80	Facility		$65.90	$100.00	$1,617.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $55.52 / $78.86 / $172.82	Professional		$55.52	$78.86	$172.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.48 / $88.03 / $188.16	Professional		$69.48	$88.03	$188.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.50 / $120.00 / $308.00	Professional		$60.50	$120.00	$308.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,862.05	Facility		$55.00	$55.00	$1,862.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $570.00 / $576.64 / $675.08	Professional		$570.00	$576.64	$675.08
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 $49.30 / $94.28 / $128.11	Facility		$49.30	$94.28	$128.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.48 / $87.34 / $188.16	Professional		$69.48	$87.34	$188.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.34 / $33.51 / $40.21	Professional		$22.34	$33.51	$40.21
United Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $1,533.00 / $5,830.00	Facility		$570.00	$1,533.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.13 / $76.98 / $193.16	Professional		$58.13	$76.98	$193.16