Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,546.09 / $9,821.00 / $22,788.00	Facility		$3,546.09	$9,821.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,085.10 / $1,085.11 / $1,367.25	Professional		$1,085.10	$1,085.11	$1,367.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,258.00 / $13,200.00 / $32,785.00	Facility		$7,258.00	$13,200.00	$32,785.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.57 / $777.15 / $967.00	Professional		$660.57	$777.15	$967.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $14,865.02	Facility		$67.90	$100.00	$14,865.02
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 $2,142.79 / $3,562.26 / $3,562.26	Professional		$2,142.79	$3,562.26	$3,562.26
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 $2,501.42 / $3,562.26 / $3,679.82	Professional		$2,501.42	$3,562.26	$3,679.82
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 $1,085.11 / $1,085.11 / $1,920.66	Facility		$1,085.11	$1,085.11	$1,920.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,142.79 / $3,562.26 / $3,562.26	Professional		$2,142.79	$3,562.26	$3,562.26
United Facility/Professional Facility Modifier Low / Median / High Price $3,570.00 / $12,150.00 / $26,451.00	Facility		$3,570.00	$12,150.00	$26,451.00