Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,707.11 / $1,707.11 / $14,339.70	Facility		$1,707.11	$1,707.11	$14,339.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,419.16 / $1,707.11 / $1,707.11	Professional		$1,419.16	$1,707.11	$1,707.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,352.42 / $1,972.78 / $3,724.97	Facility		$1,352.42	$1,972.78	$3,724.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,641.13 / $1,748.25 / $3,356.64	Professional		$1,641.13	$1,748.25	$3,356.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $10.00 / $25.01	Professional		$8.00	$10.00	$25.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $1,748.25	Facility		$1,748.25	$1,748.25	$1,748.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $1,748.25	Professional		$1,748.25	$1,748.25	$1,748.25
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 $2,606.48 / $5,201.60 / $7,712.85	Facility		$2,606.48	$5,201.60	$7,712.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,815.69 / $7,815.69 / $9,255.42	Professional		$7,815.69	$7,815.69	$9,255.42
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 $1,707.11 / $2,056.76 / $2,442.40	Facility		$1,707.11	$2,056.76	$2,442.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $2,056.76	Professional		$1,748.25	$1,748.25	$2,056.76
United Facility/Professional Professional Modifier Low / Median / High Price $1,713.97 / $1,713.97 / $3,292.54	Professional		$1,713.97	$1,713.97	$3,292.54