Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.00 / $1,827.00 / $5,672.00	Facility		$475.00	$1,827.00	$5,672.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.09 / $475.00 / $874.00	Professional		$113.09	$475.00	$874.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.25 / $475.00 / $2,393.00	Facility		$51.25	$475.00	$2,393.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.06 / $269.52 / $411.49	Professional		$90.06	$269.52	$411.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $412.02 / $1,286.92	Facility		$96.60	$412.02	$1,286.92
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $79.38 / $108.24 / $229.24	Professional		$79.38	$108.24	$229.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.92 / $227.07 / $3,605.00	Facility		$88.92	$227.07	$3,605.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.24 / $137.41 / $390.00	Professional		$61.24	$137.41	$390.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $400.00 / $550.00	Professional		$350.00	$400.00	$550.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $515.33 / $2,600.00 / $2,600.00	Facility		$515.33	$2,600.00	$2,600.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $796.95 / $1,257.00 / $1,257.00	Professional		$796.95	$1,257.00	$1,257.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $85.00	Professional		$60.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.24 / $142.36 / $522.50	Facility		$102.24	$142.36	$522.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.24 / $129.88 / $400.00	Professional		$61.24	$129.88	$400.00
United Facility/Professional Facility Modifier Low / Median / High Price $84.98 / $84.98 / $110.64	Facility		$84.98	$84.98	$110.64
United Facility/Professional Professional Modifier Low / Median / High Price $509.63 / $509.63 / $610.91	Professional		$509.63	$509.63	$610.91