Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $2,089.30 / $2,818.38	Facility		$389.05	$2,089.30	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $208.93 / $302.00	Professional		$173.78	$208.93	$302.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $537.03 / $831.76	Professional		$302.00	$537.03	$831.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $933.25 / $1,258.93	Facility		$100.00	$933.25	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $758.58 / $2,511.89	Facility		$131.83	$758.58	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $275.42 / $407.38	Professional		$199.53	$275.42	$407.38
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 $1,288.25 / $2,630.27 / $2,630.27	Facility		$1,288.25	$2,630.27	$2,630.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $1,698.24	Professional		$1,288.25	$1,698.24	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $407.38 / $676.08	Facility		$204.17	$407.38	$676.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $281.84 / $407.38	Professional		$199.53	$281.84	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $575.44 / $891.25	Facility		$549.54	$575.44	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $354.81 / $812.83	Professional		$281.84	$354.81	$812.83