Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,704.00 / $10,976.00 / $22,788.00	Facility		$4,704.00	$10,976.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,238.00 / $3,237.00 / $4,573.00	Professional		$2,238.00	$3,237.00	$4,573.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,645.00 / $5,911.00 / $19,951.00	Facility		$3,645.00	$5,911.00	$19,951.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $190.00 / $190.00	Professional		$190.00	$190.00	$190.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $5,177.85	Facility		$67.90	$100.00	$5,177.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $766.00 / $2,151.00	Facility		$629.00	$766.00	$2,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $995.77 / $995.77 / $995.77	Professional		$995.77	$995.77	$995.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $801.00 / $30,000.00	Professional		$283.26	$801.00	$30,000.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,239.00	Facility		$55.00	$55.00	$2,239.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,709.52 / $5,709.52 / $5,709.52	Professional		$5,709.52	$5,709.52	$5,709.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $70.00 / $85.00	Professional		$60.00	$70.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $717.60 / $2,151.00	Facility		$629.00	$717.60	$2,151.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $995.77 / $995.77 / $995.77	Professional		$995.77	$995.77	$995.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,207.00 / $2,731.00 / $9,941.00	Facility		$1,207.00	$2,731.00	$9,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00