Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,704.00 / $10,976.00 / $22,788.00	Facility		$4,704.00	$10,976.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $4,573.00 / $13,782.00	Professional		$1,000.00	$4,573.00	$13,782.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,333.00 / $8,020.31 / $18,692.70	Facility		$4,333.00	$8,020.31	$18,692.70
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 $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 $46.37 / $60.45 / $89.13	Professional		$46.37	$60.45	$89.13
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 $1,487.20 / $1,487.20 / $1,487.20	Professional		$1,487.20	$1,487.20	$1,487.20
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 / $1,300.00	Facility		$55.00	$55.00	$1,300.00
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 / $750.00 / $2,151.00	Facility		$633.00	$750.00	$2,151.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,487.20 / $1,487.20 / $1,487.20	Professional		$1,487.20	$1,487.20	$1,487.20
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 $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00