Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $5,178.00 / $17,538.00	Facility		$1,080.00	$5,178.00	$17,538.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.13 / $131.84 / $539.20	Professional		$111.13	$131.84	$539.20
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 $142.02 / $194.38 / $405.40	Professional		$142.02	$194.38	$405.40
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 $87.19 / $118.95 / $244.41	Professional		$87.19	$118.95	$244.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,359.00 / $8,359.00 / $8,359.00	Facility		$8,359.00	$8,359.00	$8,359.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.66 / $155.16 / $332.13	Professional		$109.66	$155.16	$332.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $506.00 / $780.00 / $1,381.00	Professional		$506.00	$780.00	$1,381.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $280.17 / $1,300.00 / $2,000.00	Facility		$280.17	$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 $128.55 / $162.71 / $263.51	Facility		$128.55	$162.71	$263.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.76 / $153.29 / $325.67	Professional		$106.76	$153.29	$325.67
United Facility/Professional Facility Modifier Low / Median / High Price $5,213.00 / $9,539.00 / $20,217.00	Facility		$5,213.00	$9,539.00	$20,217.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.09 / $134.63 / $304.14	Professional		$99.09	$134.63	$304.14