Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,798.00 / $6,211.00 / $18,483.00	Facility		$1,798.00	$6,211.00	$18,483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.19 / $382.60 / $5,168.80	Professional		$159.19	$382.60	$5,168.80
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 $814.00 / $19,551.00 / $41,448.00	Professional		$814.00	$19,551.00	$41,448.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $7,615.58	Facility		$67.90	$100.00	$7,615.58
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 $629.00 / $766.00 / $5,874.33	Facility		$629.00	$766.00	$5,874.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,029.61 / $1,029.61 / $2,346.08	Professional		$1,029.61	$1,029.61	$2,346.08
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 / $2,213.54	Facility		$55.00	$55.00	$2,213.54
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 / $717.60 / $2,151.00	Facility		$629.00	$717.60	$2,151.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,029.61 / $1,029.61 / $2,346.08	Professional		$1,029.61	$1,029.61	$2,346.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,324.00 / $3,965.00 / $10,979.00	Facility		$1,324.00	$3,965.00	$10,979.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00