Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,263.00 / $8,912.00 / $20,686.00	Facility		$3,263.00	$8,912.00	$20,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,648.00 / $2,747.50 / $9,639.00	Professional		$2,648.00	$2,747.50	$9,639.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,258.00 / $13,200.00 / $42,089.00	Facility		$7,258.00	$13,200.00	$42,089.00
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 / $12,704.07	Facility		$67.90	$100.00	$12,704.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $2,151.00 / $14,932.00	Facility		$633.00	$2,151.00	$14,932.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,092.28 / $1,573.64 / $1,573.64	Professional		$1,092.28	$1,573.64	$1,573.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.77 / $638.07 / $801.00	Professional		$257.77	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $10,160.00 / $10,160.00	Facility		$2,800.00	$10,160.00	$10,160.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,106.24 / $1,806.78 / $1,806.78	Professional		$1,106.24	$1,806.78	$1,806.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $768.37 / $14,696.00	Facility		$629.00	$768.37	$14,696.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,092.28 / $1,573.64 / $1,573.64	Professional		$1,092.28	$1,573.64	$1,573.64
United Facility/Professional Facility Modifier Low / Median / High Price $3,483.00 / $12,186.00 / $26,672.00	Facility		$3,483.00	$12,186.00	$26,672.00