Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,697.00 / $5,545.00 / $16,713.00	Facility		$1,697.00	$5,545.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $525.00 / $2,575.00 / $4,080.00	Professional		$525.00	$2,575.00	$4,080.00
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
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,297.78	Facility		$66.00	$100.00	$5,297.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $372.64 / $372.64 / $1,050.00	Facility		$372.64	$372.64	$1,050.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $768.00 / $768.00 / $768.00	Professional		$768.00	$768.00	$768.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $393.93 / $3,900.00	Professional		$135.00	$393.93	$3,900.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,800.00 / $1,800.00	Facility		$55.00	$1,800.00	$1,800.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $372.64 / $1,050.00 / $1,552.00	Facility		$372.64	$1,050.00	$1,552.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $768.00 / $768.00 / $768.00	Professional		$768.00	$768.00	$768.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,212.00 / $4,218.00 / $9,131.00	Facility		$2,212.00	$4,218.00	$9,131.00