Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,530.35 / $10,443.00 / $22,788.00	Facility		$3,530.35	$10,443.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,173.20 / $2,740.85 / $11,906.40	Professional		$1,173.20	$2,740.85	$11,906.40
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
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 $351.29 / $766.00 / $2,151.00	Facility		$351.29	$766.00	$2,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,023.70 / $4,023.70 / $4,023.70	Professional		$4,023.70	$4,023.70	$4,023.70
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 / $5,165.00	Facility		$55.00	$55.00	$5,165.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $85.00	Professional		$60.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $611.00 / $717.60 / $2,151.00	Facility		$611.00	$717.60	$2,151.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,023.70 / $4,023.70 / $4,023.70	Professional		$4,023.70	$4,023.70	$4,023.70
United Facility/Professional Facility Modifier Low / Median / High Price $894.00 / $2,607.00 / $7,655.00	Facility		$894.00	$2,607.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00