Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.26 / $1,648.00 / $2,610.00	Facility		$89.26	$1,648.00	$2,610.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.53 / $105.80 / $171.00	Professional		$75.53	$105.80	$171.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.25 / $353.00 / $1,202.00	Facility		$51.25	$353.00	$1,202.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.67 / $166.39 / $472.44	Professional		$84.67	$166.39	$472.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $183.51 / $405.69	Facility		$96.60	$183.51	$405.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $46.37 / $60.45 / $89.13	Professional		$46.37	$60.45	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.16 / $227.07 / $2,163.00	Facility		$102.16	$227.07	$2,163.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.17 / $154.49 / $322.08	Professional		$70.17	$154.49	$322.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $393.93 / $801.00	Professional		$250.00	$393.93	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $220.25 / $2,613.82 / $2,613.82	Facility		$220.25	$2,613.82	$2,613.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $661.49 / $661.49 / $915.00	Professional		$661.49	$661.49	$915.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.94 / $130.63 / $252.71	Facility		$94.94	$130.63	$252.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.17 / $145.13 / $307.00	Professional		$70.17	$145.13	$307.00
United Facility/Professional Facility Modifier Low / Median / High Price $126.72 / $126.72 / $126.72	Facility		$126.72	$126.72	$126.72
United Facility/Professional Professional Modifier Low / Median / High Price $583.16 / $583.16 / $699.33	Professional		$583.16	$583.16	$699.33