Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.01 / $1,827.00 / $2,641.16	Facility		$260.01	$1,827.00	$2,641.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.01 / $260.01 / $411.25	Professional		$260.01	$260.01	$411.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.76 / $51.26 / $2,914.00	Facility		$9.76	$51.26	$2,914.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $15.38 / $225.26	Professional		$9.94	$15.38	$225.26
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
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,673.00 / $12,673.00 / $12,673.00	Facility		$12,673.00	$12,673.00	$12,673.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $758.00 / $758.00 / $758.00	Professional		$758.00	$758.00	$758.00
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 $253.76 / $371.81 / $17,318.81	Facility		$253.76	$371.81	$17,318.81
United Facility/Professional Facility Modifier Low / Median / High Price $3,997.46 / $3,997.46 / $6,717.62	Facility		$3,997.46	$3,997.46	$6,717.62