Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,841.00 / $6,423.00 / $18,599.71	Facility		$1,841.00	$6,423.00	$18,599.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.25 / $504.01 / $5,845.70	Professional		$131.25	$504.01	$5,845.70
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 / $6,564.23	Facility		$67.90	$100.00	$6,564.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $46.37 / $60.45 / $89.13	Professional		$46.37	$60.45	$89.13
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 $277.06 / $277.06 / $277.06	Professional		$277.06	$277.06	$277.06
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 / $1,905.20	Facility		$55.00	$55.00	$1,905.20
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 $277.06 / $277.06 / $277.06	Professional		$277.06	$277.06	$277.06
United Facility/Professional Facility Modifier Low / Median / High Price $448.00 / $1,487.00 / $7,935.00	Facility		$448.00	$1,487.00	$7,935.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00