Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $514.58 / $514.58 / $4,951.80	Facility		$514.58	$514.58	$4,951.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.79 / $514.58 / $514.58	Professional		$427.79	$514.58	$514.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $348.95 / $549.51 / $964.51	Facility		$348.95	$549.51	$964.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $480.00 / $526.98 / $1,011.80	Professional		$480.00	$526.98	$1,011.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $383.04 / $547.20 / $1,333.91	Professional		$383.04	$547.20	$1,333.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.98 / $526.98 / $526.98	Facility		$526.98	$526.98	$526.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.98 / $526.98 / $526.98	Professional		$526.98	$526.98	$526.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $459.00 / $588.98 / $1,005.00	Professional		$459.00	$588.98	$1,005.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $588.98 / $2,122.65 / $2,224.80	Facility		$588.98	$2,122.65	$2,224.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,254.46 / $2,355.92 / $2,669.76	Professional		$2,254.46	$2,355.92	$2,669.76
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 $514.58 / $619.98 / $765.67	Facility		$514.58	$619.98	$765.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $526.98 / $526.98 / $619.98	Professional		$526.98	$526.98	$619.98
United Facility/Professional Professional Modifier Low / Median / High Price $516.65 / $516.65 / $1,061.92	Professional		$516.65	$516.65	$1,061.92