Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,697.00 / $7,120.00 / $18,483.00	Facility		$1,697.00	$7,120.00	$18,483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $880.00 / $1,811.20 / $4,568.00	Professional		$880.00	$1,811.20	$4,568.00
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 / $1,025.00 / $13,577.00	Facility		$633.00	$1,025.00	$13,577.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,639.26 / $4,004.79 / $4,004.79	Professional		$1,639.26	$4,004.79	$4,004.79
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 / $3,475.55 / $10,160.00	Facility		$55.00	$3,475.55	$10,160.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,815.13 / $4,004.79 / $4,136.95	Professional		$2,815.13	$4,004.79	$4,136.95
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 $1,639.26 / $4,004.79 / $4,004.79	Professional		$1,639.26	$4,004.79	$4,004.79
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