Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $6,423.00 / $18,252.00	Facility		$2,197.85	$6,423.00	$18,252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.00 / $419.30 / $687.40	Professional		$156.00	$419.30	$687.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,645.00 / $6,017.00 / $19,951.00	Facility		$3,645.00	$6,017.00	$19,951.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $614.07 / $1,847.20 / $2,339.94	Professional		$614.07	$1,847.20	$2,339.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $56.80 / $100.00 / $1,588.01	Facility		$56.80	$100.00	$1,588.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.97 / $751.98 / $1,431.43	Professional		$520.97	$751.98	$1,431.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $2,513.00 / $2,513.00	Professional		$393.93	$2,513.00	$2,513.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,214.19 / $2,699.90	Facility		$55.00	$1,214.19	$2,699.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,868.88 / $4,003.04 / $4,638.00	Professional		$3,868.88	$4,003.04	$4,638.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $637.17 / $708.50 / $897.88	Facility		$637.17	$708.50	$897.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $562.98 / $775.75 / $1,431.43	Professional		$562.98	$775.75	$1,431.43
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,551.00 / $6,920.00	Facility		$548.00	$1,551.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,282.23 / $2,282.23 / $2,469.77	Professional		$2,282.23	$2,282.23	$2,469.77