Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,116.00 / $2,321.98 / $2,826.00	Facility		$2,116.00	$2,321.98	$2,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,176.08 / $2,321.98 / $2,554.17	Professional		$2,176.08	$2,321.98	$2,554.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,850.00 / $1,850.00 / $1,850.00	Professional		$1,850.00	$1,850.00	$1,850.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.47 / $198.03 / $1,704.00	Facility		$182.47	$198.03	$1,704.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.50 / $240.51 / $4,262.70	Professional		$183.50	$240.51	$4,262.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $1,747.38 / $7,872.82	Facility		$59.40	$1,747.38	$7,872.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $662.90 / $947.00 / $2,167.11	Professional		$662.90	$947.00	$2,167.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,338.53 / $3,154.93 / $6,162.00	Facility		$2,338.53	$3,154.93	$6,162.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.79 / $1,010.42 / $1,683.51	Professional		$912.79	$1,010.42	$1,683.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,194.81 / $1,447.38 / $2,894.76	Professional		$1,194.81	$1,447.38	$2,894.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,539.25 / $9,522.00 / $9,522.00	Facility		$2,539.25	$9,522.00	$9,522.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,427.00 / $11,427.00 / $11,427.00	Professional		$11,427.00	$11,427.00	$11,427.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $2,619.18	Professional		$85.00	$85.00	$2,619.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,152.31 / $1,925.75 / $4,344.99	Facility		$1,152.31	$1,925.75	$4,344.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $912.79 / $1,104.52 / $1,578.96	Professional		$912.79	$1,104.52	$1,578.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,303.08 / $1,465.97 / $1,791.74	Professional		$1,303.08	$1,465.97	$1,791.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,359.05 / $2,102.75 / $2,473.37	Facility		$1,359.05	$2,102.75	$2,473.37
United Facility/Professional Professional Modifier Low / Median / High Price $841.81 / $1,442.05 / $3,479.09	Professional		$841.81	$1,442.05	$3,479.09