Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,471.29 / $22,908.68	Facility		$4,466.84	$10,471.29	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $501.19 / $2,290.87	Professional		$426.58	$501.19	$2,290.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $4,168.69	Professional		$776.25	$1,000.00	$4,168.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $85.11 / $100.00	Facility		$52.48	$85.11	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $588.84 / $1,071.52	Professional		$416.87	$588.84	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $724.44 / $1,023.29	Facility		$616.60	$724.44	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $645.65 / $1,258.93	Professional		$467.74	$645.65	$1,258.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $512.86 / $10,000.00	Professional		$467.74	$512.86	$10,000.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $16,595.87	Facility		$54.95	$56.23	$16,595.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,125.38 / $14,125.38 / $16,595.87	Professional		$14,125.38	$14,125.38	$16,595.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $616.60 / $2,290.87	Facility		$436.52	$616.60	$2,290.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $588.84 / $1,047.13	Professional		$446.68	$588.84	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,495.41 / $17,378.01	Facility		$1,584.89	$5,495.41	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $512.86 / $954.99	Professional		$363.08	$512.86	$954.99