Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,827.00 / $2,377.00 / $35,875.00	Facility		$1,827.00	$2,377.00	$35,875.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,221.00 / $2,826.00 / $35,875.00	Professional		$2,221.00	$2,826.00	$35,875.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.96 / $58.02 / $289.00	Facility		$47.96	$58.02	$289.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $406.60 / $932.04	Facility		$97.00	$406.60	$932.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $46.37 / $60.45 / $91.54	Professional		$46.37	$60.45	$91.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.45 / $324.51 / $1,209.66	Facility		$244.45	$324.51	$1,209.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $11,981.00 / $11,981.00	Professional		$393.93	$11,981.00	$11,981.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,335.23 / $3,335.23 / $3,335.23	Professional		$3,335.23	$3,335.23	$3,335.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $126.37 / $266.68 / $1,209.66	Facility		$126.37	$266.68	$1,209.66
United Facility/Professional Facility Modifier Low / Median / High Price $125.87 / $125.87 / $125.87	Facility		$125.87	$125.87	$125.87