Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,697.00 / $5,815.00 / $17,328.00	Facility		$1,697.00	$5,815.00	$17,328.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $4,774.10 / $14,718.20	Professional		$600.00	$4,774.10	$14,718.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,645.00 / $6,017.00 / $19,951.00	Facility		$3,645.00	$6,017.00	$19,951.00
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
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 $3,354.45 / $3,354.45 / $3,354.45	Professional		$3,354.45	$3,354.45	$3,354.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $801.00 / $8,787.00	Professional		$638.07	$801.00	$8,787.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Facility		$55.00	$55.00	$55.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $85.00	Professional		$70.00	$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 $3,354.45 / $3,354.45 / $3,354.45	Professional		$3,354.45	$3,354.45	$3,354.45
United Facility/Professional Facility Modifier Low / Median / High Price $585.00 / $1,528.00 / $7,068.00	Facility		$585.00	$1,528.00	$7,068.00