Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,311.62 / $10,004.00 / $22,788.00	Facility		$2,311.62	$10,004.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $442.34 / $2,311.62 / $2,311.62	Professional		$442.34	$2,311.62	$2,311.62
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 $676.73 / $1,043.96 / $2,167.79	Professional		$676.73	$1,043.96	$2,167.79
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 $327.45 / $467.80 / $1,029.16	Professional		$327.45	$467.80	$1,029.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $547.70 / $750.00 / $5,431.00	Facility		$547.70	$750.00	$5,431.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.58 / $675.33 / $1,262.46	Professional		$474.58	$675.33	$1,262.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $465.74 / $569.24 / $7,499.00	Professional		$465.74	$569.24	$7,499.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,902.40 / $16,500.00	Facility		$55.00	$2,902.40	$16,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,250.00 / $16,500.00 / $16,500.00	Professional		$14,250.00	$16,500.00	$16,500.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $1,120.77	Professional		$60.00	$85.00	$1,120.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.38 / $620.99 / $2,311.62	Facility		$501.38	$620.99	$2,311.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $431.39 / $624.09 / $1,166.96	Professional		$431.39	$624.09	$1,166.96
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 $370.53 / $515.66 / $1,127.55	Professional		$370.53	$515.66	$1,127.55