Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.71 / $518.13 / $518.13	Facility		$482.71	$518.13	$518.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $442.68 / $539.44 / $660.32	Professional		$442.68	$539.44	$660.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $640.04 / $640.04 / $2,896.68	Facility		$640.04	$640.04	$2,896.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $428.49 / $647.96 / $1,779.00	Professional		$428.49	$647.96	$1,779.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $222.76 / $318.23 / $654.19	Professional		$222.76	$318.23	$654.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.92 / $624.92 / $624.92	Facility		$624.92	$624.92	$624.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $502.13 / $662.29 / $1,293.61	Professional		$502.13	$662.29	$1,293.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $377.37 / $452.52 / $1,050.00	Professional		$377.37	$452.52	$1,050.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,164.27 / $2,543.21 / $2,909.61	Facility		$1,164.27	$2,543.21	$2,909.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,895.19 / $3,895.19 / $4,693.43	Professional		$3,895.19	$3,895.19	$4,693.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $70.00 / $374.02	Professional		$60.00	$70.00	$374.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $443.30 / $542.47 / $723.30	Facility		$443.30	$542.47	$723.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $501.84 / $649.48 / $1,247.58	Professional		$501.84	$649.48	$1,247.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $373.91 / $420.65 / $514.13	Professional		$373.91	$420.65	$514.13
United Facility/Professional Professional Modifier Low / Median / High Price $293.51 / $428.90 / $800.29	Professional		$293.51	$428.90	$800.29