Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,193.12 / $4,712.25 / $34,723.19	Facility		$4,193.12	$4,712.25	$34,723.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,485.85 / $4,193.12 / $4,193.12	Professional		$3,485.85	$4,193.12	$4,193.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,340.81 / $2,716.47 / $5,359.70	Facility		$1,340.81	$2,716.47	$5,359.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,782.67 / $4,294.16 / $8,244.78	Professional		$3,782.67	$4,294.16	$8,244.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,820.00 / $2,600.00 / $6,338.02	Professional		$1,820.00	$2,600.00	$6,338.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $4,294.16	Facility		$4,294.16	$4,294.16	$4,294.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $4,294.16	Professional		$4,294.16	$4,294.16	$4,294.16
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 $6,007.77 / $10,103.90 / $18,944.81	Facility		$6,007.77	$10,103.90	$18,944.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,681.83 / $19,197.41 / $22,733.78	Professional		$17,681.83	$19,197.41	$22,733.78
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 $4,193.12 / $4,685.64 / $5,999.19	Facility		$4,193.12	$4,685.64	$5,999.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $5,051.95	Professional		$4,294.16	$4,294.16	$5,051.95
United Facility/Professional Professional Modifier Low / Median / High Price $4,209.96 / $4,209.96 / $8,452.34	Professional		$4,209.96	$4,209.96	$8,452.34