Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,652.17 / $10,004.00 / $22,788.00	Facility		$1,652.17	$10,004.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,652.17 / $1,652.17 / $1,652.17	Professional		$1,652.17	$1,652.17	$1,652.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,873.70 / $8,947.00 / $19,298.00	Facility		$2,873.70	$8,947.00	$19,298.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,126.32 / $1,395.00 / $192,999.98	Professional		$1,126.32	$1,395.00	$192,999.98
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 $350.00 / $525.00 / $1,140.65	Professional		$350.00	$525.00	$1,140.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $801.00 / $7,450.00 / $14,395.00	Professional		$801.00	$7,450.00	$14,395.00
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 $3,651.88 / $3,651.88 / $3,651.88	Professional		$3,651.88	$3,651.88	$3,651.88
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 $1,649.84 / $1,652.17 / $3,552.17	Facility		$1,649.84	$1,652.17	$3,552.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $504.00 / $735.00	Professional		$350.00	$504.00	$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