Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,700.00 / $6,342.00 / $18,293.00	Facility		$1,700.00	$6,342.00	$18,293.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.25 / $2,239.19 / $4,831.39	Professional		$100.25	$2,239.19	$4,831.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.55 / $62.46 / $6,017.00	Facility		$49.55	$62.46	$6,017.00
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 / $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 $1,292.96 / $1,292.96 / $1,292.96	Professional		$1,292.96	$1,292.96	$1,292.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.77 / $638.07 / $801.00	Professional		$257.77	$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 / $85.00 / $85.00	Professional		$60.00	$85.00	$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 $1,292.96 / $1,292.96 / $1,292.96	Professional		$1,292.96	$1,292.96	$1,292.96
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 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00