Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,697.00 / $5,717.00 / $17,054.00	Facility		$1,697.00	$5,717.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.43 / $612.50 / $4,189.43	Professional		$274.43	$612.50	$4,189.43
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 / $5,351.70	Facility		$66.00	$100.00	$5,351.70
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 $9,102.00 / $11,500.00 / $11,500.00	Facility		$9,102.00	$11,500.00	$11,500.00
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
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