Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,987.50 / $10,004.00 / $22,788.00	Facility		$1,987.50	$10,004.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,987.50 / $1,987.50 / $2,252.50	Professional		$1,987.50	$1,987.50	$2,252.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,402.00 / $7,362.00 / $16,460.00	Facility		$2,402.00	$7,362.00	$16,460.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $998.85 / $1,314.85 / $191,999.98	Professional		$998.85	$1,314.85	$191,999.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,487.90	Facility		$63.90	$100.00	$5,487.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $766.00 / $5,662.00	Facility		$633.00	$766.00	$5,662.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.00 / $523.80 / $1,140.65	Professional		$336.00	$523.80	$1,140.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $801.00 / $4,240.00 / $8,193.00	Professional		$801.00	$4,240.00	$8,193.00
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
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,637.50 / $4,637.50 / $4,637.50	Professional		$4,637.50	$4,637.50	$4,637.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $950.01	Professional		$60.00	$85.00	$950.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,987.50 / $1,987.50 / $3,465.19	Facility		$1,987.50	$1,987.50	$3,465.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $336.00 / $476.00 / $735.00	Professional		$336.00	$476.00	$735.00
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