Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,772.00 / $6,218.00 / $17,538.00	Facility		$1,772.00	$6,218.00	$17,538.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.39 / $922.75 / $5,138.80	Professional		$456.39	$922.75	$5,138.80
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 / $11,012.46	Facility		$66.00	$100.00	$11,012.46
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 / $1,400.00 / $1,400.00	Facility		$55.00	$1,400.00	$1,400.00
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 $545.00 / $1,506.00 / $6,323.00	Facility		$545.00	$1,506.00	$6,323.00