Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,013.00 / $10,051.00 / $20,135.00	Facility		$4,013.00	$10,051.00	$20,135.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.50 / $544.46 / $11,769.00	Professional		$12.50	$544.46	$11,769.00
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 / $6,720.31	Facility		$66.00	$100.00	$6,720.31
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
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 / $675.00 / $1,050.00	Facility		$372.64	$675.00	$1,050.00
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