Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,046.85 / $3,465.11 / $8,333.01	Facility		$1,046.85	$3,465.11	$8,333.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.33 / $1,046.85 / $3,034.40	Professional		$933.33	$1,046.85	$3,034.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $742.82 / $876.00	Facility		$260.00	$742.82	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $1,074.45 / $2,145.27	Professional		$750.00	$1,074.45	$2,145.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $90.81 / $105.76 / $376.01	Facility		$90.81	$105.76	$376.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.10 / $233.77 / $544.77	Facility		$48.10	$233.77	$544.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,205.60 / $1,205.60 / $1,205.60	Professional		$1,205.60	$1,205.60	$1,205.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $872.00 / $1,200.00 / $2,387.00	Professional		$872.00	$1,200.00	$2,387.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,017.75 / $4,017.75 / $4,017.75	Professional		$4,017.75	$4,017.75	$4,017.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.01 / $350.90 / $1,109.67	Facility		$99.01	$350.90	$1,109.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,205.60 / $2,250,000.00 / $2,400,000.00	Professional		$1,205.60	$2,250,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.06 / $29.06 / $35.77	Professional		$29.06	$29.06	$35.77