Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,700.00 / $6,391.84 / $18,252.00	Facility		$1,700.00	$6,391.84	$18,252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.19 / $340.80 / $4,531.20	Professional		$161.19	$340.80	$4,531.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,645.00 / $5,911.00 / $19,951.00	Facility		$3,645.00	$5,911.00	$19,951.00
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 / $5,349.65	Facility		$67.90	$100.00	$5,349.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $766.00 / $5,874.33	Facility		$629.00	$766.00	$5,874.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,489.17 / $2,489.17 / $2,489.17	Professional		$2,489.17	$2,489.17	$2,489.17
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 / $1,835.60	Facility		$55.00	$55.00	$1,835.60
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 $629.00 / $717.60 / $2,151.00	Facility		$629.00	$717.60	$2,151.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,489.17 / $2,489.17 / $2,489.17	Professional		$2,489.17	$2,489.17	$2,489.17
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