Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,848.00 / $10,805.00 / $22,788.00	Facility		$4,848.00	$10,805.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.20 / $2,338.67 / $4,623.03	Professional		$933.20	$2,338.67	$4,623.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,258.00 / $13,200.00 / $32,785.00	Facility		$7,258.00	$13,200.00	$32,785.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $190.00 / $190.00	Professional		$190.00	$190.00	$190.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $12,665.53	Facility		$67.90	$100.00	$12,665.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $1,025.00 / $13,577.00	Facility		$633.00	$1,025.00	$13,577.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,020.02 / $2,020.02 / $2,020.02	Professional		$2,020.02	$2,020.02	$2,020.02
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 $2,800.00 / $10,160.00 / $10,160.00	Facility		$2,800.00	$10,160.00	$10,160.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $70.00 / $85.00	Professional		$60.00	$70.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $2,151.00 / $13,439.00	Facility		$633.00	$2,151.00	$13,439.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,020.02 / $2,020.02 / $2,020.02	Professional		$2,020.02	$2,020.02	$2,020.02
United Facility/Professional Facility Modifier Low / Median / High Price $3,483.00 / $12,186.00 / $26,672.00	Facility		$3,483.00	$12,186.00	$26,672.00