Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.55 / $105.33 / $1,827.00	Facility		$86.55	$105.33	$1,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $81.34 / $95.77	Professional		$66.95	$81.34	$95.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.22 / $293.00 / $876.00	Facility		$33.22	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.68 / $116.82 / $185.75	Professional		$88.68	$116.82	$185.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.50 / $100.00 / $1,272.95	Facility		$57.50	$100.00	$1,272.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $126.07 / $180.10 / $419.06	Professional		$126.07	$180.10	$419.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.46 / $210.20 / $248.98	Facility		$186.46	$210.20	$248.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.56 / $113.74 / $230.47	Professional		$74.56	$113.74	$230.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.03 / $195.52 / $329.00	Professional		$155.03	$195.52	$329.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $312.00 / $672.75 / $672.75	Facility		$312.00	$672.75	$672.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $857.73 / $883.47 / $883.47	Professional		$857.73	$883.47	$883.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.98 / $32.34 / $32.34	Professional		$28.98	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.11 / $132.59 / $276.42	Facility		$35.11	$132.59	$276.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.13 / $128.62 / $2,250,000.00	Professional		$76.13	$128.62	$2,250,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $197.37 / $197.37 / $197.37	Facility		$197.37	$197.37	$197.37
United Facility/Professional Professional Modifier Low / Median / High Price $125.58 / $172.10 / $412.60	Professional		$125.58	$172.10	$412.60