Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,399.50 / $10,321.00 / $20,509.00	Facility		$4,399.50	$10,321.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $2,500.00 / $2,500.00	Professional		$2,500.00	$2,500.00	$2,500.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,645.00 / $6,017.00 / $19,951.00	Facility		$3,645.00	$6,017.00	$19,951.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,881.37	Facility		$66.00	$100.00	$6,881.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,200.00 / $4,200.00 / $4,200.00	Professional		$4,200.00	$4,200.00	$4,200.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $393.93 / $1,619.00	Professional		$120.00	$393.93	$1,619.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Facility		$55.00	$55.00	$55.00
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 Professional Modifier Low / Median / High Price $4,200.00 / $4,200.00 / $4,200.00	Professional		$4,200.00	$4,200.00	$4,200.00
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,572.00 / $5,830.00	Facility		$587.00	$1,572.00	$5,830.00