Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,819.70 / $3,019.95	Facility		$1,479.11	$1,819.70	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $1,819.70	Professional		$724.44	$977.24	$1,819.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $151.36 / $165.96	Facility		$131.83	$151.36	$165.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $186.21 / $154,881.66	Professional		$131.83	$186.21	$154,881.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $2,238.72 / $5,495.41	Facility		$69.18	$2,238.72	$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 $912.01 / $3,630.78 / $6,025.60	Facility		$912.01	$3,630.78	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $891.25 / $1,698.24	Professional		$724.44	$891.25	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,122.02 / $2,238.72	Professional		$912.01	$1,122.02	$2,238.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Facility		$7,244.36	$7,244.36	$7,244.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $8,709.64	Professional		$8,709.64	$8,709.64	$8,709.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,318.26 / $3,630.78	Facility		$851.14	$1,318.26	$3,630.78
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 $1,995.26 / $2,041.74 / $3,162.28	Facility		$1,995.26	$2,041.74	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,122.02 / $2,290.87	Professional		$724.44	$1,122.02	$2,290.87