Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $9,674.00 / $19,894.00	Facility		$2,421.00	$9,674.00	$19,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $938.14 / $1,128.70 / $1,285.59	Professional		$938.14	$1,128.70	$1,285.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,883.00 / $9,673.00 / $19,574.00	Facility		$2,883.00	$9,673.00	$19,574.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $649.47 / $1,443.23 / $2,221.79	Professional		$649.47	$1,443.23	$2,221.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $14,871.05	Facility		$66.00	$100.00	$14,871.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $693.76 / $991.09 / $2,020.61	Professional		$693.76	$991.09	$2,020.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,004.50 / $1,477.93 / $2,925.68	Professional		$1,004.50	$1,477.93	$2,925.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $5,798.00 / $11,225.00	Professional		$638.07	$5,798.00	$11,225.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $15,034.36 / $15,517.70	Facility		$55.00	$15,034.36	$15,517.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,587.96 / $9,587.96 / $10,295.48	Professional		$9,587.96	$9,587.96	$10,295.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $70.00 / $947.24	Professional		$60.00	$70.00	$947.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,189.58 / $1,514.54 / $1,974.87	Facility		$1,189.58	$1,514.54	$1,974.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $995.93 / $1,426.27 / $2,833.17	Professional		$995.93	$1,426.27	$2,833.17
United Facility/Professional Facility Modifier Low / Median / High Price $6,142.00 / $12,377.00 / $26,451.00	Facility		$6,142.00	$12,377.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $837.04 / $1,153.51 / $2,488.69	Professional		$837.04	$1,153.51	$2,488.69