Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,263.00 / $8,860.00 / $21,960.90	Facility		$3,263.00	$8,860.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,917.60 / $1,917.60 / $7,084.00	Professional		$1,917.60	$1,917.60	$7,084.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,258.00 / $13,200.00 / $32,785.00	Facility		$7,258.00	$13,200.00	$32,785.00
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 / $12,704.07	Facility		$67.90	$100.00	$12,704.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $1,025.00 / $13,577.00	Facility		$633.00	$1,025.00	$13,577.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,247.03 / $4,504.25 / $4,504.25	Professional		$3,247.03	$4,504.25	$4,504.25
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 $2,800.00 / $10,160.00 / $10,160.00	Facility		$2,800.00	$10,160.00	$10,160.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,378.00 / $6,559.49 / $6,559.49	Professional		$4,378.00	$6,559.49	$6,559.49
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 $629.00 / $768.37 / $14,696.00	Facility		$629.00	$768.37	$14,696.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,247.03 / $4,504.25 / $4,504.25	Professional		$3,247.03	$4,504.25	$4,504.25
United Facility/Professional Facility Modifier Low / Median / High Price $3,483.00 / $12,186.00 / $26,672.00	Facility		$3,483.00	$12,186.00	$26,672.00