Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,245.00 / $1,245.00 / $1,245.00	Facility		$1,245.00	$1,245.00	$1,245.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,200.00 / $1,245.00 / $1,275.00	Professional		$1,200.00	$1,245.00	$1,275.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $849.51 / $1,020.00 / $1,200.00	Professional		$849.51	$1,020.00	$1,200.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $1,275.00	Facility		$1,275.00	$1,275.00	$1,275.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $1,275.00	Professional		$1,275.00	$1,275.00	$1,275.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.00 / $393.93 / $801.00	Professional		$127.00	$393.93	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,425.00 / $3,000.00 / $5,130.00	Facility		$1,425.00	$3,000.00	$5,130.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,250.00 / $5,700.00 / $6,156.00	Professional		$5,250.00	$5,700.00	$6,156.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $1,500.00 / $2,204.63	Facility		$1,275.00	$1,500.00	$2,204.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,250.00 / $1,275.00 / $1,275.00	Professional		$1,250.00	$1,275.00	$1,275.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,250.00 / $1,250.00 / $2,662.25	Professional		$1,250.00	$1,250.00	$2,662.25