Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $591.76 / $9,690.00 / $21,960.90	Facility		$591.76	$9,690.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $281.52 / $591.76	Professional		$208.00	$281.52	$591.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,309.00 / $15,328.00	Facility		$2,629.00	$7,309.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $779.75 / $976.58 / $1,760.22	Professional		$779.75	$976.58	$1,760.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $98.70 / $13,719.51	Facility		$63.50	$98.70	$13,719.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $184.23 / $263.18 / $528.47	Professional		$184.23	$263.18	$528.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.06 / $468.36 / $826.63	Professional		$338.06	$468.36	$826.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $289.68 / $318.64 / $738.68	Professional		$289.68	$318.64	$738.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $832.61 / $2,781.90	Facility		$55.00	$832.61	$2,781.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,705.34 / $3,705.34 / $4,701.01	Professional		$3,705.34	$3,705.34	$4,701.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $289.68 / $347.62 / $463.49	Facility		$289.68	$347.62	$463.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $289.68 / $443.46 / $850.97	Professional		$289.68	$443.46	$850.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,319.00 / $20,279.00	Facility		$2,047.00	$5,319.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $224.59 / $315.70 / $697.02	Professional		$224.59	$315.70	$697.02