Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.97 / $537.19 / $71,500.00	Facility		$93.97	$537.19	$71,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.87 / $100.71 / $537.19	Professional		$85.87	$100.71	$537.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $4,465.00 / $9,381.00	Facility		$1,615.00	$4,465.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.83 / $151.81 / $309.20	Professional		$108.83	$151.81	$309.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $5,238.60	Facility		$64.20	$100.00	$5,238.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $81.75 / $111.77 / $273.32	Professional		$81.75	$111.77	$273.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.60 / $133.26 / $413.35	Professional		$102.60	$133.26	$413.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $241.00 / $393.93 / $778.00	Professional		$241.00	$393.93	$778.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $191.84 / $1,300.00	Facility		$55.00	$191.84	$1,300.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $824.55 / $1,607.11 / $1,607.11	Professional		$824.55	$1,607.11	$1,607.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.59 / $127.86 / $175.61	Facility		$99.59	$127.86	$175.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.61 / $135.09 / $286.91	Professional		$102.61	$135.09	$286.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $88.54 / $121.75 / $121.75	Professional		$88.54	$121.75	$121.75
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
United Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $114.27 / $335.34	Professional		$81.20	$114.27	$335.34