Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,272.63 / $2,845.97 / $17,246.59	Facility		$2,272.63	$2,845.97	$17,246.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,743.10 / $2,845.97 / $3,257.44	Professional		$2,743.10	$2,845.97	$3,257.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,737.35 / $3,637.76 / $7,857.85	Facility		$2,737.35	$3,637.76	$7,857.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $2,914.55 / $5,552.00	Professional		$165.00	$2,914.55	$5,552.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $4,244.24 / $8,043.08	Facility		$97.00	$4,244.24	$8,043.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,280.21 / $3,257.44 / $7,940.66	Professional		$2,280.21	$3,257.44	$7,940.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,914.55 / $2,914.55 / $2,914.55	Facility		$2,914.55	$2,914.55	$2,914.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,914.55 / $2,914.55 / $2,914.55	Professional		$2,914.55	$2,914.55	$2,914.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $3,257.44 / $3,420.31	Professional		$393.93	$3,257.44	$3,420.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,949.32 / $15,144.20 / $15,144.20	Facility		$4,949.32	$15,144.20	$15,144.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,029.74 / $13,029.74 / $15,429.96	Professional		$13,029.74	$13,029.74	$15,429.96
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 $2,845.97 / $3,428.88 / $4,071.80	Facility		$2,845.97	$3,428.88	$4,071.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,914.55 / $2,914.55 / $3,428.88	Professional		$2,914.55	$2,914.55	$3,428.88
United Facility/Professional Professional Modifier Low / Median / High Price $2,857.40 / $2,857.40 / $5,826.81	Professional		$2,857.40	$2,857.40	$5,826.81