Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $30.02 / $2,027.60	Facility		$28.18	$30.02	$2,027.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $30.02 / $151.79	Professional		$25.48	$30.02	$151.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,505.00 / $9,119.00	Facility		$1,723.00	$4,505.00	$9,119.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $47.94 / $96.49	Professional		$36.90	$47.94	$96.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,117.38	Facility		$66.00	$100.00	$5,117.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $25.64 / $72.90	Professional		$18.82	$25.64	$72.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.40 / $39.63 / $120.00	Professional		$29.40	$39.63	$120.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.74 / $38.21 / $81.52	Professional		$27.74	$38.21	$81.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $73.54 / $1,300.00	Facility		$55.00	$73.54	$1,300.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $802.60 / $802.60 / $802.60	Professional		$802.60	$802.60	$802.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.21 / $38.50 / $99.78	Facility		$28.21	$38.50	$99.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.61 / $40.13 / $95.05	Professional		$29.61	$40.13	$95.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $24.66 / $33.90 / $33.90	Professional		$24.66	$33.90	$33.90
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,551.00 / $6,920.00	Facility		$548.00	$1,551.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.91 / $34.04 / $96.89	Professional		$23.91	$34.04	$96.89