Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,116.00 / $2,466.69 / $2,668.48	Facility		$2,116.00	$2,466.69	$2,668.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,963.75 / $2,495.77 / $2,616.01	Professional		$1,963.75	$2,495.77	$2,616.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.47 / $253.04 / $4,164.00	Facility		$207.47	$253.04	$4,164.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.64 / $263.32 / $1,586.45	Professional		$208.64	$263.32	$1,586.45
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $1,747.38 / $7,872.82	Facility		$59.40	$1,747.38	$7,872.82
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 $2,116.23 / $3,154.93 / $6,162.00	Facility		$2,116.23	$3,154.93	$6,162.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,580.78 / $1,987.72 / $2,700.00	Professional		$1,580.78	$1,987.72	$2,700.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,058.17 / $1,281.82 / $2,640.78	Professional		$1,058.17	$1,281.82	$2,640.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,915.35 / $5,931.94 / $5,931.94	Facility		$4,915.35	$5,931.94	$5,931.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,573.95 / $7,344.00 / $9,225.68	Professional		$5,573.95	$7,344.00	$9,225.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $2,346.51	Professional		$85.00	$85.00	$2,346.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,050.29 / $1,514.88 / $3,568.95	Facility		$1,050.29	$1,514.88	$3,568.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,013.00 / $1,244.90 / $1,493.88	Professional		$1,013.00	$1,244.90	$1,493.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,154.04 / $1,298.30 / $1,586.81	Professional		$1,154.04	$1,298.30	$1,586.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,359.05 / $2,102.75 / $2,473.37	Facility		$1,359.05	$2,102.75	$2,473.37
United Facility/Professional Professional Modifier Low / Median / High Price $107.05 / $1,291.81 / $3,033.65	Professional		$107.05	$1,291.81	$3,033.65