Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,908.00 / $6,695.00 / $18,252.00	Facility		$1,908.00	$6,695.00	$18,252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $659.39 / $2,151.89 / $3,311.20	Professional		$659.39	$2,151.89	$3,311.20
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 $201.70 / $237.30 / $237.30	Professional		$201.70	$237.30	$237.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $541.83 / $4,886.39	Facility		$67.90	$541.83	$4,886.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $766.00 / $3,025.00	Facility		$633.00	$766.00	$3,025.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $283.26 / $801.00	Professional		$225.00	$283.26	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Facility		$55.00	$55.00	$55.00
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 / $3,025.00	Facility		$633.00	$750.00	$3,025.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,540.00 / $3,965.00 / $9,131.00	Facility		$1,540.00	$3,965.00	$9,131.00