Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,064.91 / $1,248.43 / $1,248.43	Facility		$1,064.91	$1,248.43	$1,248.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $890.76 / $1,064.91 / $1,318.12	Professional		$890.76	$1,064.91	$1,318.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $293.00 / $876.00	Facility		$203.00	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.50 / $1,143.13 / $1,857.70	Professional		$333.50	$1,143.13	$1,857.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $1,360.82 / $8,781.68	Facility		$59.40	$1,360.82	$8,781.68
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $987.00 / $1,410.00 / $3,141.76	Professional		$987.00	$1,410.00	$3,141.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,079.58 / $1,287.97 / $3,932.06	Facility		$1,079.58	$1,287.97	$3,932.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,085.34 / $1,390.72 / $2,998.29	Professional		$1,085.34	$1,390.72	$2,998.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,661.11 / $2,159.23 / $4,318.47	Professional		$1,661.11	$2,159.23	$4,318.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,901.88 / $4,465.75 / $5,205.62	Facility		$1,901.88	$4,465.75	$5,205.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,610.61 / $6,610.61 / $8,420.48	Professional		$6,610.61	$6,610.61	$8,420.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $372.95	Professional		$32.34	$32.34	$372.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $864.21 / $1,466.30 / $2,571.98	Facility		$864.21	$1,466.30	$2,571.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,102.84 / $1,705.92 / $2,400,000.00	Professional		$1,102.84	$1,705.92	$2,400,000.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,558.35 / $1,753.15 / $2,142.73	Professional		$1,558.35	$1,753.15	$2,142.73
United Facility/Professional Facility Modifier Low / Median / High Price $2,267.58 / $2,267.58 / $2,267.58	Facility		$2,267.58	$2,267.58	$2,267.58
United Facility/Professional Professional Modifier Low / Median / High Price $784.28 / $1,703.76 / $4,676.47	Professional		$784.28	$1,703.76	$4,676.47