Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.46 / $2,013.00 / $3,299.08	Facility		$368.46	$2,013.00	$3,299.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.46 / $368.46 / $379.59	Professional		$368.46	$368.46	$379.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $931.00 / $2,914.00 / $15,447.00	Facility		$931.00	$2,914.00	$15,447.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.54 / $63.26 / $68.31	Professional		$48.54	$63.26	$68.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $6,655.40 / $25,958.81	Facility		$92.60	$6,655.40	$25,958.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $220.00 / $503.45	Professional		$154.00	$220.00	$503.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,644.49 / $17,318.81 / $37,848.42	Facility		$7,644.49	$17,318.81	$37,848.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $9,648.00	Professional		$393.93	$393.93	$9,648.00
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 $368.46 / $526.90 / $19,426.18	Facility		$368.46	$526.90	$19,426.18
United Facility/Professional Facility Modifier Low / Median / High Price $3,997.46 / $12,154.00 / $19,375.07	Facility		$3,997.46	$12,154.00	$19,375.07