Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,595.00 / $5,829.00 / $17,902.00	Facility		$1,595.00	$5,829.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $584.00 / $2,823.49 / $4,366.30	Professional		$584.00	$2,823.49	$4,366.30
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 / $5,367.09	Facility		$67.90	$100.00	$5,367.09
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 $724.06 / $724.06 / $724.06	Professional		$724.06	$724.06	$724.06
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 / $2,073.00	Facility		$55.00	$55.00	$2,073.00
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 $724.06 / $724.06 / $724.06	Professional		$724.06	$724.06	$724.06
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