Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $1,079.00 / $9,063.60	Facility		$1,079.00	$1,079.00	$9,063.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $897.00 / $1,079.00 / $1,079.00	Professional		$897.00	$1,079.00	$1,079.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.72 / $1,571.02 / $3,278.76	Facility		$1,000.72	$1,571.02	$3,278.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,126.15 / $1,188.72 / $1,742.00	Professional		$1,126.15	$1,188.72	$1,742.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $864.50 / $1,235.00 / $3,010.56	Professional		$864.50	$1,235.00	$3,010.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,066.90 / $1,066.90 / $1,066.90	Facility		$1,066.90	$1,066.90	$1,066.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,066.90 / $1,066.90 / $1,066.90	Professional		$1,066.90	$1,066.90	$1,066.90
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 $2,493.27 / $6,867.59 / $7,117.97	Facility		$2,493.27	$6,867.59	$7,117.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,425.58 / $7,425.58 / $10,975.35	Professional		$7,425.58	$7,425.58	$10,975.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $2,683.65	Professional		$85.00	$85.00	$2,683.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,066.90 / $1,265.77 / $1,605.50	Facility		$1,066.90	$1,265.77	$1,605.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,066.90 / $1,066.90 / $1,066.90	Professional		$1,066.90	$1,066.90	$1,066.90
United Facility/Professional Professional Modifier Low / Median / High Price $1,235.00 / $1,235.00 / $2,479.51	Professional		$1,235.00	$1,235.00	$2,479.51