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 / $633.53 / $985.46	Professional		$491.63	$633.53	$985.46
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 $819.01 / $1,160.71 / $2,486.21	Professional		$819.01	$1,160.71	$2,486.21
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 $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 / $766.00 / $5,431.00	Facility		$633.00	$766.00	$5,431.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $636.69 / $1,098.74 / $2,063.67	Professional		$636.69	$1,098.74	$2,063.67
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 / $5,936.40 / $7,464.08	Facility		$55.00	$5,936.40	$7,464.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,708.72 / $5,864.80 / $6,840.23	Professional		$5,708.72	$5,864.80	$6,840.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $1,568.63	Professional		$60.00	$85.00	$1,568.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $633.19 / $793.14 / $1,022.88	Facility		$633.19	$793.14	$1,022.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $613.92 / $1,050.69 / $1,966.37	Professional		$613.92	$1,050.69	$1,966.37
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 $517.79 / $837.51 / $1,834.76	Professional		$517.79	$837.51	$1,834.76