Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $491.63 / $10,004.00 / $22,788.00	Facility		$491.63	$10,004.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.63 / $600.72 / $981.90	Professional		$491.63	$600.72	$981.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,765.00 / $8,947.61 / $19,122.91	Facility		$3,765.00	$8,947.61	$19,122.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $784.46 / $1,166.13 / $2,359.37	Professional		$784.46	$1,166.13	$2,359.37
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $13,858.12	Facility		$63.90	$100.00	$13,858.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $420.00 / $600.00 / $1,320.00	Professional		$420.00	$600.00	$1,320.00
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 $571.20 / $974.32 / $1,828.50	Professional		$571.20	$974.32	$1,828.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $603.64 / $710.17 / $1,724.69	Professional		$603.64	$710.17	$1,724.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,577.12 / $6,609.44	Facility		$55.00	$5,577.12	$6,609.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,970.56 / $5,193.35 / $6,425.78	Professional		$4,970.56	$5,193.35	$6,425.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $1,486.51	Professional		$60.00	$85.00	$1,486.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $600.72 / $767.16 / $1,022.88	Facility		$600.72	$767.16	$1,022.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $560.00 / $930.01 / $1,743.30	Professional		$560.00	$930.01	$1,743.30
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 $505.01 / $780.90 / $1,690.37	Professional		$505.01	$780.90	$1,690.37