Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,677.35 / $7,762.47	Facility		$1,380.38	$4,677.35	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $794.33 / $1,122.02	Professional		$147.91	$794.33	$1,122.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $371.54 / $954.99	Professional		$117.49	$371.54	$954.99
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $177.83 / $302.00	Professional		$144.54	$177.83	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $630.96 / $831.76	Professional		$398.11	$630.96	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $524.81 / $1,230.27	Facility		$194.98	$524.81	$1,230.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $177.83 / $302.00	Professional		$144.54	$177.83	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,096.48 / $1,819.70	Professional		$562.34	$1,096.48	$1,819.70