Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,539.00 / $6,218.00 / $17,013.00	Facility		$1,539.00	$6,218.00	$17,013.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $37.43 / $323.98	Professional		$29.50	$37.43	$323.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,491.00 / $4,604.00 / $6,240.00	Facility		$3,491.00	$4,604.00	$6,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.01 / $8.01 / $8.01	Professional		$8.01	$8.01	$8.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.30 / $100.00 / $1,904.45	Facility		$60.30	$100.00	$1,904.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $13.20 / $13.20	Professional		$13.20	$13.20	$13.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $120.00 / $393.93	Professional		$120.00	$120.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.50 / $37.43 / $53.52	Facility		$29.50	$37.43	$53.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $13.20 / $13.20	Professional		$13.20	$13.20	$13.20
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