Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,765.00 / $2,200.00 / $4,201.00	Facility		$1,765.00	$2,200.00	$4,201.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,765.00 / $2,200.00	Professional		$1,000.00	$1,765.00	$2,200.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.25 / $353.00 / $2,523.00	Facility		$51.25	$353.00	$2,523.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.27 / $1,413.75 / $3,810.13	Professional		$1,348.27	$1,413.75	$3,810.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $700.00 / $1,000.00 / $2,437.69	Professional		$700.00	$1,000.00	$2,437.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $886.67 / $886.67 / $6,162.00	Facility		$886.67	$886.67	$6,162.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,099.51 / $1,099.51 / $1,382.55	Professional		$1,099.51	$1,099.51	$1,382.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $500.00	Professional		$393.93	$393.93	$500.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $1,229.45	Facility		$100.00	$100.00	$1,229.45
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 $1,000.00 / $1,500.00 / $3,440.00	Facility		$1,000.00	$1,500.00	$3,440.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250,000.00 / $2,250,000.00 / $2,400,000.00	Professional		$2,250,000.00	$2,250,000.00	$2,400,000.00