Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,253.14 / $10,004.00 / $22,788.00	Facility		$1,253.14	$10,004.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.59 / $600.00 / $1,303.76	Professional		$344.59	$600.00	$1,303.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $6,941.00 / $15,529.00	Facility		$1,450.00	$6,941.00	$15,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $522.77 / $927.97 / $1,926.92	Professional		$522.77	$927.97	$1,926.92
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $13,858.12	Facility		$63.90	$100.00	$13,858.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $218.31 / $311.87 / $686.11	Professional		$218.31	$311.87	$686.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $413.28 / $750.00 / $5,431.00	Facility		$413.28	$750.00	$5,431.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.05 / $527.20 / $985.73	Professional		$372.05	$527.20	$985.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $310.49 / $379.49 / $1,701.00	Professional		$310.49	$379.49	$1,701.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,603.55 / $16,280.00	Facility		$55.00	$1,603.55	$16,280.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,060.00 / $16,280.00 / $16,280.00	Professional		$14,060.00	$16,280.00	$16,280.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $511.41	Professional		$60.00	$85.00	$511.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $344.99 / $413.99 / $756.00	Facility		$344.99	$413.99	$756.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $306.93 / $480.63 / $914.77	Professional		$306.93	$480.63	$914.77
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 $265.25 / $379.29 / $912.20	Professional		$265.25	$379.29	$912.20