Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,827.00 / $2,264.00 / $2,969.00	Facility		$1,827.00	$2,264.00	$2,969.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,221.00 / $2,641.16 / $3,498.77	Professional		$2,221.00	$2,641.16	$3,498.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.96 / $58.02 / $262.58	Facility		$47.96	$58.02	$262.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18,276.00 / $18,276.00 / $18,276.00	Professional		$18,276.00	$18,276.00	$18,276.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $181.42 / $410.05	Facility		$96.60	$181.42	$410.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.72 / $337.40 / $659.47	Facility		$235.72	$337.40	$659.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $1,619.00	Professional		$393.93	$393.93	$1,619.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $153.22 / $301.76 / $659.47	Facility		$153.22	$301.76	$659.47
United Facility/Professional Facility Modifier Low / Median / High Price $133.29 / $133.29 / $220.08	Facility		$133.29	$133.29	$220.08