Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,787.22 / $5,815.00 / $17,809.00	Facility		$1,787.22	$5,815.00	$17,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.70 / $1,374.40 / $2,769.60	Professional		$196.70	$1,374.40	$2,769.60
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 / $4,886.39	Facility		$67.90	$100.00	$4,886.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $351.29 / $766.00 / $2,151.00	Facility		$351.29	$766.00	$2,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.43 / $343.43 / $343.43	Professional		$343.43	$343.43	$343.43
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 / $2,302.53	Facility		$55.00	$55.00	$2,302.53
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 $611.00 / $717.60 / $2,151.00	Facility		$611.00	$717.60	$2,151.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $343.43 / $343.43 / $343.43	Professional		$343.43	$343.43	$343.43
United Facility/Professional Facility Modifier Low / Median / High Price $722.00 / $2,607.00 / $7,940.00	Facility		$722.00	$2,607.00	$7,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00