Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,373.77 / $1,827.00 / $2,641.16	Facility		$1,373.77	$1,827.00	$2,641.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,373.77 / $1,373.77 / $1,956.69	Professional		$1,373.77	$1,373.77	$1,956.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.88 / $202.39 / $4,164.00	Facility		$166.88	$202.39	$4,164.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.77 / $202.52 / $420.54	Professional		$163.77	$202.52	$420.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $1,046.97 / $5,203.14	Facility		$59.40	$1,046.97	$5,203.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $662.90 / $947.00 / $2,167.11	Professional		$662.90	$947.00	$2,167.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,086.78 / $1,993.18 / $4,022.67	Facility		$1,086.78	$1,993.18	$4,022.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,296.74 / $1,630.55 / $2,700.00	Professional		$1,296.74	$1,630.55	$2,700.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $921.53 / $1,116.29 / $2,299.76	Professional		$921.53	$1,116.29	$2,299.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,214.47 / $5,085.64 / $5,085.64	Facility		$4,214.47	$5,085.64	$5,085.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,779.12 / $5,609.51 / $7,911.23	Professional		$4,779.12	$5,609.51	$7,911.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $2,182.20	Professional		$85.00	$85.00	$2,182.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $894.69 / $1,309.17 / $2,030.45	Facility		$894.69	$1,309.17	$2,030.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $882.19 / $1,063.00 / $1,300.98	Professional		$882.19	$1,063.00	$1,300.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,005.01 / $1,130.63 / $1,381.89	Professional		$1,005.01	$1,130.63	$1,381.89
United Facility/Professional Facility Modifier Low / Median / High Price $570.02 / $830.00 / $954.74	Facility		$570.02	$830.00	$954.74
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $1,116.30 / $2,641.89	Professional		$87.07	$1,116.30	$2,641.89