Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,341.12 / $9,697.00 / $22,788.00	Facility		$3,341.12	$9,697.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $3,326.40 / $8,281.71	Professional		$1,000.00	$3,326.40	$8,281.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,152.00 / $3,152.00 / $3,152.00	Professional		$3,152.00	$3,152.00	$3,152.00
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 $15,141.00 / $15,141.00 / $15,141.00	Professional		$15,141.00	$15,141.00	$15,141.00
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 $2,154.59 / $5,178.20 / $17,232.93	Professional		$2,154.59	$5,178.20	$17,232.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $3,951.00 / $17,614.00	Professional		$393.93	$3,951.00	$17,614.00
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 $8,500.00 / $17,232.93 / $17,801.62	Professional		$8,500.00	$17,232.93	$17,801.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,632.50 / $3,159.00 / $3,802.50	Facility		$2,632.50	$3,159.00	$3,802.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,281.25 / $17,232.93 / $17,232.93	Professional		$3,281.25	$17,232.93	$17,232.93
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 $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00