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 $1,300.00 / $9,639.00 / $24,401.00	Professional		$1,300.00	$9,639.00	$24,401.00
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 / $9,497.06	Facility		$66.00	$100.00	$9,497.06
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 $705.31 / $705.31 / $1,050.00	Facility		$705.31	$705.31	$1,050.00
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 $705.31 / $705.31 / $1,050.00	Facility		$705.31	$705.31	$1,050.00
United Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,506.00 / $6,323.00	Facility		$526.00	$1,506.00	$6,323.00