Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $766.09 / $766.09 / $7,372.08	Facility		$766.09	$766.09	$7,372.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $682.55 / $766.09 / $965.27	Professional		$682.55	$766.09	$965.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $648.27 / $886.73 / $1,785.54	Facility		$648.27	$886.73	$1,785.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.73 / $784.55 / $1,506.33	Professional		$71.73	$784.55	$1,506.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1.09 / $1.75 / $1,712.35	Facility		$1.09	$1.75	$1,712.35
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $509.73 / $728.18 / $1,622.53	Professional		$509.73	$728.18	$1,622.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $784.55 / $784.55 / $784.55	Facility		$784.55	$784.55	$784.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $784.55 / $784.55 / $784.55	Professional		$784.55	$784.55	$784.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $654.00 / $876.85 / $1,479.00	Professional		$654.00	$876.85	$1,479.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $876.85 / $2,837.28 / $3,300.00	Facility		$876.85	$2,837.28	$3,300.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,344.00 / $3,507.40 / $4,153.50	Professional		$3,344.00	$3,507.40	$4,153.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $766.09 / $923.00 / $1,139.91	Facility		$766.09	$923.00	$1,139.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $784.55 / $784.55 / $923.00	Professional		$784.55	$784.55	$923.00
United Facility/Professional Professional Modifier Low / Median / High Price $769.17 / $769.17 / $1,490.04	Professional		$769.17	$769.17	$1,490.04