Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,420.00 / $10,805.00 / $22,788.00	Facility		$4,420.00	$10,805.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.95 / $450.00 / $2,410.42	Professional		$380.95	$450.00	$2,410.42
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 / $5,349.65	Facility		$67.90	$100.00	$5,349.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $46.37 / $60.45 / $89.13	Professional		$46.37	$60.45	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $766.00 / $6,252.58	Facility		$629.00	$766.00	$6,252.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $692.57 / $692.57 / $692.57	Professional		$692.57	$692.57	$692.57
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 $55.00 / $55.00 / $2,112.00	Facility		$55.00	$55.00	$2,112.00
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 $692.57 / $692.57 / $692.57	Professional		$692.57	$692.57	$692.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,324.00 / $3,965.00 / $10,979.00	Facility		$1,324.00	$3,965.00	$10,979.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00