Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,420.00 / $10,321.00 / $20,509.00	Facility		$4,420.00	$10,321.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $981.37 / $981.37 / $7,444.50	Professional		$981.37	$981.37	$7,444.50
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
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $46.37 / $57.20 / $98.88	Professional		$46.37	$57.20	$98.88
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 $194.00 / $194.00 / $194.00	Professional		$194.00	$194.00	$194.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $393.93 / $1,619.00	Professional		$135.00	$393.93	$1,619.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Facility		$55.00	$55.00	$55.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $372.64 / $414.00 / $1,050.00	Facility		$372.64	$414.00	$1,050.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.00 / $194.00 / $194.00	Professional		$194.00	$194.00	$194.00
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