Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,256.22 / $5,545.00 / $17,133.00	Facility		$1,256.22	$5,545.00	$17,133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $75.25	Professional		$51.00	$51.00	$75.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,505.00 / $9,119.00	Facility		$1,759.00	$4,505.00	$9,119.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.39 / $56.84 / $121.68	Professional		$42.39	$56.84	$121.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $5,455.40	Facility		$65.90	$100.00	$5,455.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $50.00 / $100.40	Professional		$35.00	$50.00	$100.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.48 / $251.48 / $362.69	Professional		$251.48	$251.48	$362.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $203.00 / $258.00 / $882.00	Professional		$203.00	$258.00	$882.00
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 $379.30 / $379.30 / $390.73	Professional		$379.30	$379.30	$390.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $72.93 / $114.24	Facility		$51.00	$72.93	$114.24
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,533.00 / $6,920.00	Facility		$548.00	$1,533.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $250.78 / $250.78 / $250.78	Professional		$250.78	$250.78	$250.78