Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $9,665.00 / $19,860.00	Facility		$250.00	$9,665.00	$19,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.90 / $250.00 / $250.00	Professional		$112.90	$250.00	$250.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,016.00 / $4,576.00 / $9,381.00	Facility		$2,016.00	$4,576.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.05 / $156.16 / $539.86	Professional		$123.05	$156.16	$539.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $5,177.85	Facility		$64.40	$100.00	$5,177.85
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $111.17 / $158.82 / $326.92	Professional		$111.17	$158.82	$326.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $705.31 / $705.31 / $705.31	Facility		$705.31	$705.31	$705.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.60 / $179.32 / $333.84	Professional		$112.60	$179.32	$333.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.81 / $134.16 / $411.00	Professional		$102.81	$134.16	$411.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $248.09 / $908.00	Facility		$55.00	$248.09	$908.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $935.00 / $935.00 / $1,077.45	Professional		$935.00	$935.00	$1,077.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.23 / $140.44 / $250.00	Facility		$114.23	$140.44	$250.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.68 / $173.77 / $333.84	Professional		$111.68	$173.77	$333.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $96.02 / $108.03 / $132.03	Professional		$96.02	$108.03	$132.03
United Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,523.00 / $6,323.00	Facility		$526.00	$1,523.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $71.47 / $114.97 / $273.44	Professional		$71.47	$114.97	$273.44