Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.04 / $777.19 / $777.19	Facility		$724.04	$777.19	$777.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $664.01 / $809.38 / $990.47	Professional		$664.01	$809.38	$990.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $959.35 / $959.35 / $4,341.71	Facility		$959.35	$959.35	$4,341.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $642.72 / $971.21 / $2,669.64	Professional		$642.72	$971.21	$2,669.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $553.60 / $840.24 / $1,702.62	Professional		$553.60	$840.24	$1,702.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $937.40 / $937.40 / $937.40	Facility		$937.40	$937.40	$937.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $753.18 / $993.69 / $1,940.81	Professional		$753.18	$993.69	$1,940.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $441.86 / $523.22 / $1,349.00	Professional		$441.86	$523.22	$1,349.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,746.56 / $3,814.81 / $4,364.78	Facility		$1,746.56	$3,814.81	$4,364.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,352.44 / $5,352.44 / $7,039.50	Professional		$5,352.44	$5,352.44	$7,039.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $70.00 / $526.02	Professional		$60.00	$70.00	$526.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $540.04 / $678.87 / $1,024.00	Facility		$540.04	$678.87	$1,024.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $733.78 / $974.15 / $1,871.40	Professional		$733.78	$974.15	$1,871.40
United Facility/Professional Professional Modifier Low / Median / High Price $367.50 / $554.77 / $1,023.76	Professional		$367.50	$554.77	$1,023.76