Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,571.07 / $1,832.07 / $2,641.16	Facility		$1,571.07	$1,832.07	$2,641.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,571.07 / $1,832.07 / $2,034.51	Professional		$1,571.07	$1,832.07	$2,034.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.59 / $146.58 / $1,704.00	Facility		$129.59	$146.58	$1,704.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.32 / $170.80 / $3,027.33	Professional		$130.32	$170.80	$3,027.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $1,154.83 / $5,203.14	Facility		$59.40	$1,154.83	$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 $1,821.78 / $3,154.93 / $5,971.96	Facility		$1,821.78	$3,154.93	$5,971.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $710.14 / $786.10 / $1,332.10	Professional		$710.14	$786.10	$1,332.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $921.53 / $1,116.29 / $2,027.36	Professional		$921.53	$1,116.29	$2,027.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,226.55 / $5,100.31 / $5,100.31	Facility		$4,226.55	$5,100.31	$5,100.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,792.85 / $7,931.03 / $8,640.00	Professional		$4,792.85	$7,931.03	$8,640.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $2,258.44	Professional		$85.00	$85.00	$2,258.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $896.62 / $1,319.25 / $3,154.93	Facility		$896.62	$1,319.25	$3,154.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $710.14 / $859.31 / $1,217.77	Professional		$710.14	$859.31	$1,217.77
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 $830.00 / $1,359.05 / $2,300.82	Facility		$830.00	$1,359.05	$2,300.82
United Facility/Professional Professional Modifier Low / Median / High Price $726.06 / $1,115.78 / $2,707.60	Professional		$726.06	$1,115.78	$2,707.60