Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,772.00 / $6,093.93 / $18,483.00	Facility		$1,772.00	$6,093.93	$18,483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $563.50 / $2,346.40 / $10,969.70	Professional		$563.50	$2,346.40	$10,969.70
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 / $5,177.85	Facility		$67.90	$100.00	$5,177.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $766.00 / $2,534.80	Facility		$629.00	$766.00	$2,534.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,311.43 / $1,311.43 / $1,311.43	Professional		$1,311.43	$1,311.43	$1,311.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $638.07 / $801.00	Professional		$105.00	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,300.00	Facility		$55.00	$55.00	$1,300.00
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 $629.00 / $717.60 / $2,151.00	Facility		$629.00	$717.60	$2,151.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,311.43 / $1,311.43 / $1,311.43	Professional		$1,311.43	$1,311.43	$1,311.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,324.00 / $3,965.00 / $10,979.00	Facility		$1,324.00	$3,965.00	$10,979.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $1,864.00 / $1,864.00	Professional		$45.00	$1,864.00	$1,864.00