Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,425.81 / $18,208.20 / $47,299.10	Facility		$8,425.81	$18,208.20	$47,299.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8,121.26 / $8,425.81 / $10,111.00	Professional		$8,121.26	$8,425.81	$10,111.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,765.96 / $9,483.10 / $12,181.91	Facility		$7,765.96	$9,483.10	$12,181.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $430.93 / $8,628.84 / $11,825.21	Professional		$430.93	$8,628.84	$11,825.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.30 / $95.60 / $9,383.82	Facility		$61.30	$95.60	$9,383.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8,425.81 / $8,425.81 / $17,343.68	Professional		$8,425.81	$8,425.81	$17,343.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,304.94 / $8,628.84 / $8,628.84	Facility		$8,304.94	$8,628.84	$8,628.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,628.84 / $8,628.84 / $8,628.84	Professional		$8,628.84	$8,628.84	$8,628.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $638.07 / $801.00	Professional		$283.26	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,644.00 / $34,663.19 / $36,639.44	Facility		$9,644.00	$34,663.19	$36,639.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $37,127.98 / $38,576.00 / $43,967.34	Professional		$37,127.98	$38,576.00	$43,967.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $936.41 / $936.41	Professional		$60.00	$936.41	$936.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $379.70 / $7,821.20 / $10,151.58	Facility		$379.70	$7,821.20	$10,151.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $8,628.84 / $8,628.84 / $10,177.64	Professional		$8,628.84	$8,628.84	$10,177.64
United Facility/Professional Professional Modifier Low / Median / High Price $8,459.66 / $8,459.66 / $16,251.01	Professional		$8,459.66	$8,459.66	$16,251.01