Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $855.90 / $10,321.00 / $22,788.00	Facility		$855.90	$10,321.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $855.90 / $963.08 / $1,454.46	Professional		$855.90	$963.08	$1,454.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $8,805.92 / $18,758.00	Facility		$2,675.00	$8,805.92	$18,758.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,254.61 / $2,147.98 / $4,233.84	Professional		$1,254.61	$2,147.98	$4,233.84
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 $742.79 / $1,069.65 / $2,364.41	Professional		$742.79	$1,069.65	$2,364.41
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 $917.35 / $1,533.84 / $2,936.58	Professional		$917.35	$1,533.84	$2,936.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,021.23 / $1,232.52 / $2,993.27	Professional		$1,021.23	$1,232.52	$2,993.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,736.08 / $10,954.40	Facility		$55.00	$8,736.08	$10,954.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,966.80 / $8,606.87 / $10,065.90	Professional		$7,966.80	$8,606.87	$10,065.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $70.00 / $933.63	Professional		$60.00	$70.00	$933.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,011.23 / $1,311.40 / $1,748.53	Facility		$1,011.23	$1,311.40	$1,748.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $733.11 / $1,500.59 / $2,936.58	Professional		$733.11	$1,500.59	$2,936.58
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 $870.58 / $1,200.80 / $2,631.94	Professional		$870.58	$1,200.80	$2,631.94