Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.28 / $504.35 / $1,186.44	Facility		$167.28	$504.35	$1,186.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.75 / $152.60 / $193.05	Professional		$118.75	$152.60	$193.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.88 / $180.13 / $564.17	Facility		$148.88	$180.13	$564.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $179.09 / $265.16	Professional		$70.00	$179.09	$265.16
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $46.00 / $102.50	Professional		$36.00	$46.00	$102.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.29 / $317.60 / $477.70	Professional		$303.29	$317.60	$477.70
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 $100.00 / $100.00 / $576.95	Facility		$100.00	$100.00	$576.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $661.43 / $661.43 / $661.43	Professional		$661.43	$661.43	$661.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $85.00	Professional		$60.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.55 / $166.55 / $276.89	Facility		$117.55	$166.55	$276.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $2,250,000.00 / $2,400,000.00	Professional		$1,800,000.00	$2,250,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $44.00 / $44.00	Professional		$44.00	$44.00	$44.00