Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,000.62 / $36,493.00 / $76,588.00	Facility		$4,000.62	$36,493.00	$76,588.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,606.92 / $4,348.67 / $6,220.96	Professional		$2,606.92	$4,348.67	$6,220.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10,657.25 / $10,657.25 / $10,657.25	Professional		$10,657.25	$10,657.25	$10,657.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,569.00 / $14,879.00 / $31,887.00	Facility		$5,569.00	$14,879.00	$31,887.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $465.00 / $1,323.80 / $2,328.48	Professional		$465.00	$1,323.80	$2,328.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $81.40 / $3,965.21 / $6,434.57	Facility		$81.40	$3,965.21	$6,434.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $652.25 / $1,826.30 / $4,210.93	Professional		$652.25	$1,826.30	$4,210.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,462.00 / $37,653.00 / $56,406.00	Facility		$12,462.00	$37,653.00	$56,406.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,316.69 / $2,316.69 / $2,316.69	Professional		$2,316.69	$2,316.69	$2,316.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,883.89 / $2,492.76 / $4,362.68	Professional		$1,883.89	$2,492.76	$4,362.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,455.63 / $17,849.98 / $17,849.98	Facility		$5,455.63	$17,849.98	$17,849.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,830.00 / $16,830.00 / $24,015.68	Professional		$16,830.00	$16,830.00	$24,015.68
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 $2,379.65 / $2,917.74 / $15,840.00	Facility		$2,379.65	$2,917.74	$15,840.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,316.69 / $2,316.69 / $2,316.69	Professional		$2,316.69	$2,316.69	$2,316.69
United Facility/Professional Facility Modifier Low / Median / High Price $5,679.00 / $9,953.00 / $21,278.00	Facility		$5,679.00	$9,953.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,701.45 / $2,394.69 / $6,744.50	Professional		$1,701.45	$2,394.69	$6,744.50