Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.00 / $5,219.51 / $17,380.00	Facility		$1,023.00	$5,219.51	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.84 / $127.01 / $528.00	Professional		$102.84	$127.01	$528.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,418.00 / $9,274.00	Facility		$1,723.00	$4,418.00	$9,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.28 / $174.20 / $305.76	Professional		$134.28	$174.20	$305.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,455.40	Facility		$63.90	$100.00	$5,455.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $82.75 / $112.89 / $231.93	Professional		$82.75	$112.89	$231.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,500.00 / $6,500.00 / $6,500.00	Facility		$6,500.00	$6,500.00	$6,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.88 / $146.31 / $311.24	Professional		$103.88	$146.31	$311.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $459.00 / $707.00 / $1,252.00	Professional		$459.00	$707.00	$1,252.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $262.92 / $1,300.00 / $2,000.00	Facility		$262.92	$1,300.00	$2,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,634.59 / $1,634.59 / $1,634.59	Professional		$1,634.59	$1,634.59	$1,634.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $121.50 / $152.75 / $202.95	Facility		$121.50	$152.75	$202.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.88 / $145.19 / $310.45	Professional		$100.88	$145.19	$310.45
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $6,323.00	Facility		$587.00	$1,551.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $94.50 / $123.90 / $263.95	Professional		$94.50	$123.90	$263.95