Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,608.00 / $8,741.00 / $22,788.00	Facility		$2,608.00	$8,741.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.89 / $530.83 / $956.20	Professional		$412.89	$530.83	$956.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,196.00 / $5,944.00 / $13,697.00	Facility		$1,196.00	$5,944.00	$13,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $632.22 / $911.98 / $1,932.41	Professional		$632.22	$911.98	$1,932.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $7,121.41	Facility		$67.90	$100.00	$7,121.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $364.00 / $520.00 / $1,144.00	Professional		$364.00	$520.00	$1,144.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $1,557.69 / $13,577.00	Facility		$633.00	$1,557.69	$13,577.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $552.84 / $817.71 / $1,497.67	Professional		$552.84	$817.71	$1,497.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.14 / $353.29 / $858.00	Professional		$302.14	$353.29	$858.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,273.43 / $13,486.75	Facility		$55.00	$4,273.43	$13,486.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,882.48 / $4,219.60 / $4,924.28	Professional		$3,882.48	$4,219.60	$4,924.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $1,166.28	Professional		$60.00	$85.00	$1,166.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $339.35 / $412.89 / $663.58	Facility		$339.35	$412.89	$663.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $469.00 / $816.64 / $1,426.91	Professional		$469.00	$816.64	$1,426.91
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
United Facility/Professional Professional Modifier Low / Median / High Price $373.49 / $608.40 / $1,494.81	Professional		$373.49	$608.40	$1,494.81