Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,827.00 / $1,827.00 / $2,264.00	Facility		$1,827.00	$1,827.00	$2,264.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.50 / $293.00 / $876.00	Facility		$50.50	$293.00	$876.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $413.96 / $977.57	Facility		$97.00	$413.96	$977.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $702.26 / $1,364.43 / $2,653.88	Facility		$702.26	$1,364.43	$2,653.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $1,619.00	Professional		$393.93	$393.93	$1,619.00
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 $702.26 / $1,364.43 / $2,653.88	Facility		$702.26	$1,364.43	$2,653.88
United Facility/Professional Facility Modifier Low / Median / High Price $396.05 / $396.05 / $396.05	Facility		$396.05	$396.05	$396.05