Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,217.50 / $10,004.00 / $22,788.00	Facility		$3,217.50	$10,004.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,937.58 / $3,217.50 / $3,217.50	Professional		$1,937.58	$3,217.50	$3,217.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,108.00 / $7,303.00 / $16,460.00	Facility		$3,108.00	$7,303.00	$16,460.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,054.02 / $6,362.32 / $11,334.55	Professional		$2,054.02	$6,362.32	$11,334.55
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,487.90	Facility		$63.90	$100.00	$5,487.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,685.47 / $2,407.82 / $5,297.20	Professional		$1,685.47	$2,407.82	$5,297.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $766.00 / $5,431.00	Facility		$633.00	$766.00	$5,431.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,014.06 / $2,863.37 / $5,377.71	Professional		$1,014.06	$2,863.37	$5,377.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,197.05 / $2,693.27 / $6,540.80	Professional		$2,197.05	$2,693.27	$6,540.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $31,047.20 / $38,949.76	Facility		$55.00	$31,047.20	$38,949.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,090.00 / $15,301.92 / $17,886.59	Professional		$14,090.00	$15,301.92	$17,886.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $1,824.33	Professional		$60.00	$85.00	$1,824.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,193.33 / $3,054.73 / $4,232.28	Facility		$2,193.33	$3,054.73	$4,232.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $846.66 / $2,604.37 / $5,183.93	Professional		$846.66	$2,604.37	$5,183.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,090.42 / $2,874.32 / $2,874.32	Professional		$2,090.42	$2,874.32	$2,874.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,055.00 / $4,820.00 / $20,279.00	Facility		$1,055.00	$4,820.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,637.48 / $2,324.48 / $5,459.00	Professional		$1,637.48	$2,324.48	$5,459.00