Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,987.50 / $10,004.00 / $22,788.00	Facility		$1,987.50	$10,004.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,987.50 / $1,987.50 / $2,252.50	Professional		$1,987.50	$1,987.50	$2,252.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,917.00 / $9,106.31 / $19,574.00	Facility		$3,917.00	$9,106.31	$19,574.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,338.92 / $3,427.74 / $4,947.00	Professional		$2,338.92	$3,427.74	$4,947.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $11,939.24	Facility		$63.90	$100.00	$11,939.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,260.00 / $1,800.00 / $3,960.00	Professional		$1,260.00	$1,800.00	$3,960.00
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 $364.00 / $584.22 / $7,244.58	Professional		$364.00	$584.22	$7,244.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $801.00 / $8,272.00 / $31,000.00	Professional		$801.00	$8,272.00	$31,000.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $5,913.70	Facility		$55.00	$55.00	$5,913.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,755.51 / $7,755.51 / $7,755.51	Professional		$7,755.51	$7,755.51	$7,755.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $987.20	Professional		$60.00	$85.00	$987.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,987.50 / $1,987.50 / $4,457.39	Facility		$1,987.50	$1,987.50	$4,457.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $518.00 / $2,501.28	Professional		$350.00	$518.00	$2,501.28
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 / $1,872.02 / $12,235.00	Professional		$45.00	$1,872.02	$12,235.00