Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $944.25 / $3,822.00	Facility		$625.00	$944.25	$3,822.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $473.60 / $658.93 / $1,132.04	Professional		$473.60	$658.93	$1,132.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $607.33 / $734.34 / $952.66	Facility		$607.33	$734.34	$952.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $271.70 / $674.81 / $1,301.97	Professional		$271.70	$674.81	$1,301.97
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $369.60 / $660.00	Facility		$98.20	$369.60	$660.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $140.52 / $321.19	Professional		$100.00	$140.52	$321.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $674.81 / $674.81 / $674.81	Facility		$674.81	$674.81	$674.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $674.81 / $674.81 / $674.81	Professional		$674.81	$674.81	$674.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $708.00 / $1,035.00 / $1,599.00	Professional		$708.00	$1,035.00	$1,599.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $754.20 / $2,485.00 / $2,977.09	Facility		$754.20	$2,485.00	$2,977.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,016.78 / $3,016.78 / $3,572.51	Professional		$3,016.78	$3,016.78	$3,572.51
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 $658.93 / $793.89 / $980.46	Facility		$658.93	$793.89	$980.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $674.81 / $674.81 / $754.20	Professional		$674.81	$674.81	$754.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.50 / $12.50 / $12.50	Professional		$12.50	$12.50	$12.50
United Facility/Professional Professional Modifier Low / Median / High Price $661.57 / $661.57 / $1,409.01	Professional		$661.57	$661.57	$1,409.01