Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.35 / $1,801.27 / $8,215.59	Facility		$310.35	$1,801.27	$8,215.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.42 / $1,497.44 / $3,204.39	Professional		$114.42	$1,497.44	$3,204.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,581.80 / $1,936.90 / $2,217.29	Facility		$1,581.80	$1,936.90	$2,217.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.80 / $1,844.67 / $3,541.76	Professional		$354.80	$1,844.67	$3,541.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $30.00 / $75.42	Professional		$27.00	$30.00	$75.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.26 / $143.26 / $143.26	Facility		$143.26	$143.26	$143.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.26 / $143.26 / $143.26	Professional		$143.26	$143.26	$143.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $403.00 / $612.00 / $911.00	Professional		$403.00	$612.00	$911.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,844.67 / $2,170.19 / $2,170.19	Facility		$1,844.67	$2,170.19	$2,170.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,742.91 / $3,742.91 / $3,742.91	Professional		$3,742.91	$3,742.91	$3,742.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.41 / $0.41 / $85.00	Professional		$0.41	$0.41	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $143.26 / $245.88 / $2,170.19	Facility		$143.26	$245.88	$2,170.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $143.26 / $143.26 / $143.26	Professional		$143.26	$143.26	$143.26
United Facility/Professional Professional Modifier Low / Median / High Price $2,170.19 / $2,170.19 / $3,937.61	Professional		$2,170.19	$2,170.19	$3,937.61