Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,160.94 / $2,824.00 / $12,224.30	Facility		$2,160.94	$2,824.00	$12,224.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,488.32 / $2,581.63 / $4,602.39	Professional		$2,488.32	$2,581.63	$4,602.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Professional		$750.00	$750.00	$750.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,804.43 / $2,777.84 / $4,987.57	Facility		$1,804.43	$2,777.84	$4,987.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,592.00 / $2,643.84 / $5,101.05	Professional		$2,592.00	$2,643.84	$5,101.05
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $99.00 / $2,935.06 / $5,241.17	Facility		$99.00	$2,935.06	$5,241.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,295.00 / $1,850.00 / $4,509.75	Professional		$1,295.00	$1,850.00	$4,509.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,643.84 / $2,643.84 / $2,643.84	Facility		$2,643.84	$2,643.84	$2,643.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,643.84 / $2,643.84 / $2,643.84	Professional		$2,643.84	$2,643.84	$2,643.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $3,250.37 / $6,904.00	Professional		$393.93	$3,250.37	$6,904.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,954.88 / $6,940.10 / $11,106.00	Facility		$2,954.88	$6,940.10	$11,106.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,254.08 / $11,254.08 / $13,327.20	Professional		$11,254.08	$11,254.08	$13,327.20
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 $2,581.63 / $3,110.40 / $3,697.67	Facility		$2,581.63	$3,110.40	$3,697.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,643.84 / $2,643.84 / $3,110.40	Professional		$2,643.84	$2,643.84	$3,110.40
United Facility/Professional Professional Modifier Low / Median / High Price $2,592.00 / $2,592.00 / $5,040.39	Professional		$2,592.00	$2,592.00	$5,040.39