Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $9,690.00 / $21,960.90	Facility		$825.00	$9,690.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $825.00 / $825.00 / $825.00	Professional		$825.00	$825.00	$825.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,275.00 / $9,644.00 / $19,252.00	Facility		$3,275.00	$9,644.00	$19,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,027.50 / $1,289.04 / $2,572.29	Professional		$1,027.50	$1,289.04	$2,572.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $7,340.45	Facility		$63.50	$100.00	$7,340.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $915.60 / $1,308.00 / $3,188.51	Professional		$915.60	$1,308.00	$3,188.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.00 / $1,140.65 / $1,826.53	Professional		$364.00	$1,140.65	$1,826.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,059.00 / $6,075.00 / $20,000.00	Professional		$5,059.00	$6,075.00	$20,000.00
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 $7,220.45 / $7,220.45 / $7,220.45	Professional		$7,220.45	$7,220.45	$7,220.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $1,072.50 / $1,785.00	Facility		$825.00	$1,072.50	$1,785.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $336.00 / $455.00 / $735.00	Professional		$336.00	$455.00	$735.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,159.00 / $20,279.00	Facility		$2,009.00	$5,159.00	$20,279.00