Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.71 / $9,690.00 / $21,960.90	Facility		$200.71	$9,690.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.18 / $191.83 / $379.20	Professional		$170.18	$191.83	$379.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $379.07 / $441.63 / $691.89	Professional		$379.07	$441.63	$691.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $1,894.14	Facility		$66.09	$100.00	$1,894.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,475.85 / $20,226.00 / $24,948.00	Facility		$4,475.85	$20,226.00	$24,948.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.36 / $224.81 / $281.45	Professional		$215.36	$224.81	$281.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,792.80 / $2,204.80 / $2,447.36	Facility		$1,792.80	$2,204.80	$2,447.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,742.48 / $1,934.72 / $2,053.88	Professional		$1,742.48	$1,934.72	$2,053.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $258.57 / $536.42 / $15,431.00	Facility		$258.57	$536.42	$15,431.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $215.50 / $248.23 / $259.89	Professional		$215.50	$248.23	$259.89
United Facility/Professional Professional Modifier Low / Median / High Price $155.90 / $226.80 / $523.97	Professional		$155.90	$226.80	$523.97