Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,945.00 / $18,483.00	Facility		$1,992.00	$7,945.00	$18,483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $849.72 / $1,018.97 / $1,155.32	Professional		$849.72	$1,018.97	$1,155.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,908.00 / $11,400.00 / $34,433.58	Facility		$3,908.00	$11,400.00	$34,433.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,144.21 / $1,509.40 / $2,968.03	Professional		$1,144.21	$1,509.40	$2,968.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $15,457.42	Facility		$64.40	$100.00	$15,457.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $848.66 / $1,212.36 / $2,474.21	Professional		$848.66	$1,212.36	$2,474.21
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 $1,048.68 / $1,318.52 / $2,660.15	Professional		$1,048.68	$1,318.52	$2,660.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $3,036.00 / $5,879.00	Professional		$638.07	$3,036.00	$5,879.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,269.45 / $6,391.70	Facility		$55.00	$6,269.45	$6,391.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,883.44 / $8,035.36 / $9,444.83	Professional		$7,883.44	$8,035.36	$9,444.83
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 $1,243.30 / $1,406.55 / $1,788.00	Facility		$1,243.30	$1,406.55	$1,788.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,050.08 / $1,312.35 / $2,615.60	Professional		$1,050.08	$1,312.35	$2,615.60
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,651.00 / $29,312.00	Facility		$7,212.00	$13,651.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $804.44 / $1,119.93 / $2,608.73	Professional		$804.44	$1,119.93	$2,608.73