Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,344.60 / $1,344.60 / $1,344.60	Facility		$1,344.60	$1,344.60	$1,344.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,296.00 / $1,344.60 / $1,377.00	Professional		$1,296.00	$1,344.60	$1,377.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $910.67 / $1,059.69 / $1,296.00	Professional		$910.67	$1,059.69	$1,296.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $1,377.00	Facility		$1,377.00	$1,377.00	$1,377.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $1,377.00	Professional		$1,377.00	$1,377.00	$1,377.00
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 $1,539.00 / $3,240.00 / $5,737.50	Facility		$1,539.00	$3,240.00	$5,737.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,814.00 / $6,156.00 / $6,885.00	Professional		$5,814.00	$6,156.00	$6,885.00
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 $1,377.00 / $1,620.00 / $2,381.21	Facility		$1,377.00	$1,620.00	$2,381.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $1,620.00	Professional		$1,377.00	$1,377.00	$1,620.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,350.00 / $1,350.00 / $2,563.38	Professional		$1,350.00	$1,350.00	$2,563.38