Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,843.00 / $9,727.00 / $21,000.00	Facility		$2,843.00	$9,727.00	$21,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,233.79 / $1,391.58 / $4,061.92	Professional		$1,233.79	$1,391.58	$4,061.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,585.00 / $11,033.00 / $21,510.00	Facility		$3,585.00	$11,033.00	$21,510.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $783.97 / $1,895.28 / $2,926.26	Professional		$783.97	$1,895.28	$2,926.26
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 $912.51 / $1,303.58 / $2,657.80	Professional		$912.51	$1,303.58	$2,657.80
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 $1,321.62 / $1,944.26 / $3,849.09	Professional		$1,321.62	$1,944.26	$3,849.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $4,569.00 / $8,846.00	Professional		$638.07	$4,569.00	$8,846.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $28,774.24 / $29,700.80	Facility		$55.00	$28,774.24	$29,700.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,045.20 / $14,268.77 / $14,268.77	Professional		$14,045.20	$14,268.77	$14,268.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $70.00 / $85.00	Professional		$60.00	$70.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,564.67 / $1,992.86 / $2,582.76	Facility		$1,564.67	$1,992.86	$2,582.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,290.96 / $1,876.32 / $3,849.09	Professional		$1,290.96	$1,876.32	$3,849.09
United Facility/Professional Facility Modifier Low / Median / High Price $6,821.00 / $11,624.00 / $24,889.00	Facility		$6,821.00	$11,624.00	$24,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,027.72 / $1,510.74 / $3,579.54	Professional		$1,027.72	$1,510.74	$3,579.54