Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,316.00 / $8,860.00 / $21,960.90	Facility		$3,316.00	$8,860.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,294.54 / $3,529.60 / $4,573.00	Professional		$1,294.54	$3,529.60	$4,573.00
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 / $8,138.75	Facility		$67.90	$100.00	$8,138.75
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 / $1,025.00 / $13,577.00	Facility		$633.00	$1,025.00	$13,577.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,895.11 / $1,895.11 / $1,895.11	Professional		$1,895.11	$1,895.11	$1,895.11
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 / $2,800.00 / $2,800.00	Facility		$55.00	$2,800.00	$2,800.00
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 / $900.00 / $14,696.00	Facility		$633.00	$900.00	$14,696.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,895.11 / $1,895.11 / $1,895.11	Professional		$1,895.11	$1,895.11	$1,895.11
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
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00