Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.00 / $1,836.00 / $3,722.25	Facility		$475.00	$1,836.00	$3,722.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.96 / $475.00 / $1,390.00	Professional		$358.96	$475.00	$1,390.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.27 / $475.00 / $2,393.00	Facility		$62.27	$475.00	$2,393.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $402.68 / $583.51 / $1,134.08	Professional		$402.68	$583.51	$1,134.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.70 / $100.00 / $4,442.37	Facility		$58.70	$100.00	$4,442.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $395.03 / $571.51 / $1,387.47	Professional		$395.03	$571.51	$1,387.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.44 / $584.71 / $3,605.00	Facility		$192.44	$584.71	$3,605.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.20 / $549.22 / $1,258.33	Professional		$278.20	$549.22	$1,258.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $382.81 / $480.92 / $935.75	Professional		$382.81	$480.92	$935.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,244.96 / $3,244.96 / $3,392.96	Facility		$3,244.96	$3,244.96	$3,392.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,814.89 / $2,899.34 / $2,989.43	Professional		$2,814.89	$2,899.34	$2,989.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $70.00 / $520.52	Professional		$60.00	$70.00	$520.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $381.20 / $600.00 / $933.88	Facility		$381.20	$600.00	$933.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $297.50 / $603.73 / $1,191.90	Professional		$297.50	$603.73	$1,191.90
United Facility/Professional Facility Modifier Low / Median / High Price $84.98 / $84.98 / $147.38	Facility		$84.98	$84.98	$147.38
United Facility/Professional Professional Modifier Low / Median / High Price $350.98 / $432.35 / $1,102.14	Professional		$350.98	$432.35	$1,102.14