Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.57 / $221.17 / $2,264.00	Facility		$192.57	$221.17	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.19 / $208.41 / $276.02	Professional		$157.19	$208.41	$276.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.61 / $293.00 / $876.00	Facility		$33.61	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.35 / $218.43 / $328.41	Professional		$106.35	$218.43	$328.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $128.83 / $610.41	Facility		$59.40	$128.83	$610.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $82.91 / $101.33 / $235.79	Professional		$82.91	$101.33	$235.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.74 / $574.21 / $1,374.00	Facility		$107.74	$574.21	$1,374.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.72 / $109.01 / $213.00	Professional		$74.72	$109.01	$213.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.25 / $108.58 / $218.10	Professional		$87.25	$108.58	$218.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $191.43 / $738.95 / $738.95	Facility		$191.43	$738.95	$738.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $565.13 / $565.13 / $688.13	Professional		$565.13	$565.13	$688.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.63 / $32.34 / $32.34	Professional		$29.63	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.36 / $132.07 / $336.77	Facility		$36.36	$132.07	$336.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $116.33 / $2,250,000.00	Professional		$73.00	$116.33	$2,250,000.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $116.48 / $142.36	Professional		$103.54	$116.48	$142.36
United Facility/Professional Facility Modifier Low / Median / High Price $241.74 / $241.74 / $397.44	Facility		$241.74	$241.74	$397.44
United Facility/Professional Professional Modifier Low / Median / High Price $72.78 / $264.89 / $661.94	Professional		$72.78	$264.89	$661.94