Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,621.81 / $1,621.81	Facility		$1,479.11	$1,621.81	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,818.38 / $4,168.69	Professional		$1,621.81	$2,818.38	$4,168.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $645.65 / $1,621.81	Facility		$512.86	$645.65	$1,621.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,981.07 / $10,964.78	Professional		$1,995.26	$3,981.07	$10,964.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $912.01 / $1,230.27	Facility		$100.00	$912.01	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $630.96 / $831.76	Professional		$141.25	$630.96	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,248.07 / $5,248.07	Facility		$100.00	$5,248.07	$5,248.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $3,630.78	Professional		$467.74	$467.74	$3,630.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $562.34 / $3,715.35	Facility		$446.68	$562.34	$3,715.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $2,398.83 / $2,398.83	Professional		$524.81	$2,398.83	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $338.84 / $3,019.95	Facility		$147.91	$338.84	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $257.04 / $1,737.80	Professional		$208.93	$257.04	$1,737.80