Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,312.50 / $10,004.00 / $22,788.00	Facility		$1,312.50	$10,004.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,312.50 / $1,443.75 / $3,069.10	Professional		$1,312.50	$1,443.75	$3,069.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,363.00 / $5,568.90 / $19,298.00	Facility		$3,363.00	$5,568.90	$19,298.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,078.69 / $4,741.39 / $9,342.50	Professional		$2,078.69	$4,741.39	$9,342.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,487.90	Facility		$63.90	$100.00	$5,487.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,213.59 / $1,733.71 / $3,568.67	Professional		$1,213.59	$1,733.71	$3,568.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $766.00 / $5,431.00	Facility		$633.00	$766.00	$5,431.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,183.07 / $3,285.74 / $6,104.95	Professional		$1,183.07	$3,285.74	$6,104.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,527.42 / $1,866.84 / $4,420.96	Professional		$1,527.42	$1,866.84	$4,420.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,673.52 / $21,416.16	Facility		$55.00	$13,673.52	$21,416.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,328.49 / $16,328.49 / $16,826.72	Professional		$16,328.49	$16,328.49	$16,826.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $611.82	Professional		$60.00	$85.00	$611.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,621.43 / $2,080.44 / $2,907.07	Facility		$1,621.43	$2,080.44	$2,907.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,183.07 / $2,898.50 / $5,873.27	Professional		$1,183.07	$2,898.50	$5,873.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,453.54 / $1,998.61 / $1,998.61	Professional		$1,453.54	$1,998.61	$1,998.61
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 $1,645.67 / $2,890.83 / $5,813.05	Professional		$1,645.67	$2,890.83	$5,813.05