Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $605.49 / $605.49 / $1,966.09	Facility		$605.49	$605.49	$1,966.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.00 / $949.00 / $5,904.00	Professional		$410.00	$949.00	$5,904.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.02 / $460.00 / $914.00	Facility		$58.02	$460.00	$914.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $878.43	Facility		$100.00	$100.00	$878.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.63 / $157.63 / $1,509.00	Facility		$157.63	$157.63	$1,509.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.47 / $76.47 / $147.00	Professional		$76.47	$76.47	$147.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.77 / $638.07 / $801.00	Professional		$257.77	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,313.00 / $1,313.00 / $1,313.00	Facility		$1,313.00	$1,313.00	$1,313.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,488.00 / $1,488.00 / $1,488.00	Professional		$1,488.00	$1,488.00	$1,488.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $70.00 / $85.00	Professional		$60.00	$70.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $157.63 / $425.10 / $1,509.00	Facility		$157.63	$425.10	$1,509.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.47 / $76.47 / $147.00	Professional		$76.47	$76.47	$147.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $286.11 / $286.11 / $286.11	Professional		$286.11	$286.11	$286.11
United Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $329.00 / $480.00	Facility		$244.00	$329.00	$480.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00