Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,848.00 / $10,004.00 / $22,788.00	Facility		$4,848.00	$10,004.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.91 / $6,249.99 / $6,249.99	Professional		$454.91	$6,249.99	$6,249.99
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 $744.49 / $1,314.85 / $2,730.27	Professional		$744.49	$1,314.85	$2,730.27
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 $564.91 / $750.00 / $5,431.00	Facility		$564.91	$750.00	$5,431.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.40 / $694.26 / $1,301.11	Professional		$489.40	$694.26	$1,301.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $465.74 / $569.24 / $7,335.00	Professional		$465.74	$569.24	$7,335.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,902.40 / $4,959.60	Facility		$55.00	$2,902.40	$4,959.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,959.60 / $5,925.00 / $5,925.00	Professional		$4,959.60	$5,925.00	$5,925.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $1,061.77	Professional		$60.00	$85.00	$1,061.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $517.49 / $620.99 / $6,249.99	Facility		$517.49	$620.99	$6,249.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $497.28 / $678.26 / $1,226.95	Professional		$497.28	$678.26	$1,226.95
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 $377.01 / $524.54 / $1,127.55	Professional		$377.01	$524.54	$1,127.55