Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.96 / $64.53 / $64.53	Facility		$60.96	$64.53	$64.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.92 / $64.53 / $111.83	Professional		$57.92	$64.53	$111.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.83 / $59.38 / $113.82	Professional		$51.83	$59.38	$113.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $785.24 / $785.24 / $785.24	Professional		$785.24	$785.24	$785.24
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 $1,835.25 / $2,441.87 / $5,503.61	Facility		$1,835.25	$2,441.87	$5,503.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,904.35 / $5,979.29 / $8,078.78	Professional		$4,904.35	$5,979.29	$8,078.78
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 $83.03 / $1,746.52 / $2,351.09	Facility		$83.03	$1,746.52	$2,351.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $785.24 / $785.24 / $785.24	Professional		$785.24	$785.24	$785.24
United Facility/Professional Professional Modifier Low / Median / High Price $1,438.66 / $1,438.66 / $2,695.19	Professional		$1,438.66	$1,438.66	$2,695.19