Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,399.50 / $10,976.00 / $22,788.00	Facility		$4,399.50	$10,976.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $232.40 / $4,573.00	Professional		$77.00	$232.40	$4,573.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,645.00 / $5,911.00 / $19,951.00	Facility		$3,645.00	$5,911.00	$19,951.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $190.00 / $190.00	Professional		$190.00	$190.00	$190.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $5,122.07	Facility		$67.90	$100.00	$5,122.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $351.29 / $708.00 / $2,151.00	Facility		$351.29	$708.00	$2,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,085.34 / $1,085.34 / $1,085.34	Professional		$1,085.34	$1,085.34	$1,085.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.77 / $638.07 / $801.00	Professional		$257.77	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,718.00	Facility		$55.00	$55.00	$1,718.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $70.00 / $85.00	Professional		$60.00	$70.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $611.00 / $708.00 / $2,151.00	Facility		$611.00	$708.00	$2,151.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,085.34 / $1,085.34 / $1,085.34	Professional		$1,085.34	$1,085.34	$1,085.34
United Facility/Professional Facility Modifier Low / Median / High Price $379.00 / $1,458.00 / $5,830.00	Facility		$379.00	$1,458.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00