Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,772.00 / $5,710.00 / $17,030.00	Facility		$1,772.00	$5,710.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $696.00 / $1,686.00 / $5,050.00	Professional		$696.00	$1,686.00	$5,050.00
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
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 $376.60 / $538.00 / $1,103.57	Professional		$376.60	$538.00	$1,103.57
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
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 $1,824.00 / $2,365.04 / $2,443.09	Professional		$1,824.00	$2,365.04	$2,443.09
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 $2,365.04 / $2,365.04 / $2,365.04	Professional		$2,365.04	$2,365.04	$2,365.04
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