Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.89 / $3,775.50 / $18,113.09	Facility		$270.89	$3,775.50	$18,113.09
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 $96.22 / $119.93 / $452.18	Facility		$96.22	$119.93	$452.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $97.86 / $191.88 / $397.17	Professional		$97.86	$191.88	$397.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.79 / $200.46 / $587.45	Facility		$163.79	$200.46	$587.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $49.00 / $49.00	Professional		$49.00	$49.00	$49.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $638.07 / $801.00	Professional		$200.00	$638.07	$801.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,335.23 / $6,068.72 / $6,068.72	Professional		$3,335.23	$6,068.72	$6,068.72
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 $163.79 / $200.46 / $587.45	Facility		$163.79	$200.46	$587.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $49.00 / $49.00	Professional		$49.00	$49.00	$49.00
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,572.00 / $5,830.00	Facility		$587.00	$1,572.00	$5,830.00