Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,700.00 / $5,823.00 / $17,133.00	Facility		$1,700.00	$5,823.00	$17,133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $506.00 / $506.00 / $4,344.83	Professional		$506.00	$506.00	$4,344.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,645.00 / $4,604.00 / $6,240.00	Facility		$3,645.00	$4,604.00	$6,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,415.00 / $1,415.00 / $1,415.00	Professional		$1,415.00	$1,415.00	$1,415.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,367.09	Facility		$66.00	$100.00	$5,367.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $45.99 / $57.70 / $89.13	Professional		$45.99	$57.70	$89.13
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 $303.56 / $363.70 / $660.00	Professional		$303.56	$363.70	$660.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $801.00	Professional		$393.93	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Facility		$55.00	$55.00	$55.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,457.00 / $3,325.39 / $3,435.13	Professional		$2,457.00	$3,325.39	$3,435.13
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 $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $660.00 / $660.00 / $3,325.39	Professional		$660.00	$660.00	$3,325.39
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