Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,390.25 / $1,390.25 / $11,678.10	Facility		$1,390.25	$1,390.25	$11,678.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,155.75 / $1,390.25 / $1,423.75	Professional		$1,155.75	$1,390.25	$1,423.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.13 / $268.25 / $1,607.52	Professional		$59.13	$268.25	$1,607.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $294.83 / $421.20 / $1,026.76	Professional		$294.83	$421.20	$1,026.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.10 / $1,380.10 / $1,380.10	Facility		$1,380.10	$1,380.10	$1,380.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.10 / $1,380.10 / $1,380.10	Professional		$1,380.10	$1,380.10	$1,380.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,225.19 / $8,883.66 / $9,207.50	Facility		$3,225.19	$8,883.66	$9,207.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,274.74 / $10,274.74 / $14,197.28	Professional		$10,274.74	$10,274.74	$14,197.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,380.10 / $1,423.75 / $2,694.40	Facility		$1,380.10	$1,423.75	$2,694.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,380.10 / $1,380.10 / $1,380.10	Professional		$1,380.10	$1,380.10	$1,380.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,675.00 / $1,675.00 / $3,217.68	Professional		$1,675.00	$1,675.00	$3,217.68