Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,025.60 / $17,378.01	Facility		$1,737.80	$6,025.60	$17,378.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $676.08	Professional		$112.20	$162.18	$676.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,882.50	Facility		$2,570.40	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $208.93 / $436.52	Professional		$61.66	$208.93	$436.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $6,025.60	Facility		$60.26	$100.00	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $275.42	Professional		$107.15	$151.36	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $154.88 / $323.59	Professional		$112.20	$154.88	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $776.25 / $1,621.81	Professional		$398.11	$776.25	$1,621.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,995.26 / $1,995.26	Facility		$1,288.25	$1,995.26	$1,995.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $165.96 / $275.42	Facility		$123.03	$165.96	$275.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $309.03	Professional		$107.15	$154.88	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $10,000.00 / $20,892.96	Facility		$5,248.07	$10,000.00	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $131.83 / $269.15	Professional		$97.72	$131.83	$269.15