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 $85.11 / $794.33 / $1,122.02	Professional		$85.11	$794.33	$1,122.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $275.42 / $954.99	Professional		$14.79	$275.42	$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 $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $45.71 / $77.62	Professional		$36.31	$45.71	$77.62
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 $56.23 / $512.86 / $1,230.27	Facility		$56.23	$512.86	$1,230.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $45.71 / $77.62	Professional		$36.31	$45.71	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $1,096.48 / $1,819.70	Professional		$151.36	$1,096.48	$1,819.70