Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $2,630.27	Facility		$1,380.38	$1,862.09	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $1,949.84	Professional		$724.44	$977.24	$1,949.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $190.55 / $213.80	Facility		$165.96	$190.55	$213.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $218.78 / $630.96	Professional		$165.96	$218.78	$630.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $1,659.59 / $5,495.41	Facility		$69.18	$1,659.59	$5,495.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,230.27 / $2,511.89	Professional		$851.14	$1,230.27	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,238.72 / $4,570.88	Facility		$891.25	$2,238.72	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $870.96 / $1,659.59	Professional		$724.44	$870.96	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,122.02 / $2,454.71	Professional		$912.01	$1,122.02	$2,454.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Facility		$5,623.41	$5,623.41	$5,623.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $7,943.28 / $7,943.28	Professional		$5,623.41	$7,943.28	$7,943.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,318.26 / $2,511.89	Facility		$851.14	$1,318.26	$2,511.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $870.96 / $1,122.02	Professional		$724.44	$870.96	$1,122.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,023.29 / $1,380.38	Professional		$1,000.00	$1,023.29	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $912.01 / $1,380.38	Facility		$870.96	$912.01	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $1,096.48 / $2,290.87	Professional		$63.10	$1,096.48	$2,290.87