Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,632.38 / $10,004.00 / $22,788.00	Facility		$1,632.38	$10,004.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.81 / $500.00 / $1,632.38	Professional		$225.81	$500.00	$1,632.38
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 $390.48 / $920.72 / $1,852.99	Professional		$390.48	$920.72	$1,852.99
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 $155.41 / $222.03 / $488.47	Professional		$155.41	$222.03	$488.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.22 / $750.00 / $5,431.00	Facility		$297.22	$750.00	$5,431.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.13 / $352.64 / $640.66	Professional		$248.13	$352.64	$640.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.88 / $260.18 / $2,937.00	Professional		$212.88	$260.18	$2,937.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,481.35 / $3,884.00	Facility		$55.00	$1,481.35	$3,884.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,385.00 / $4,385.00 / $4,385.00	Professional		$4,385.00	$4,385.00	$4,385.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $592.14	Professional		$60.00	$85.00	$592.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $236.53 / $283.83 / $1,632.38	Facility		$236.53	$283.83	$1,632.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $241.26 / $334.05 / $618.42	Professional		$241.26	$334.05	$618.42
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 $177.06 / $243.37 / $515.37	Professional		$177.06	$243.37	$515.37