Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $774.75 / $774.75 / $7,455.42	Facility		$774.75	$774.75	$7,455.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $644.07 / $774.75 / $774.75	Professional		$644.07	$774.75	$774.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $680.36 / $920.05 / $1,915.30	Facility		$680.36	$920.05	$1,915.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $777.86 / $793.42 / $1,547.16	Professional		$777.86	$793.42	$1,547.16
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $614.11 / $2,395.26	Facility		$92.60	$614.11	$2,395.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $793.42 / $793.42 / $793.42	Facility		$793.42	$793.42	$793.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $793.42 / $793.42 / $793.42	Professional		$793.42	$793.42	$793.42
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 $886.76 / $3,547.04 / $3,547.04	Facility		$886.76	$3,547.04	$3,547.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,547.03 / $3,547.03 / $4,200.43	Professional		$3,547.03	$3,547.03	$4,200.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $774.75 / $793.42 / $1,107.89	Facility		$774.75	$793.42	$1,107.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $793.42 / $793.42 / $793.42	Professional		$793.42	$793.42	$793.42
United Facility/Professional Professional Modifier Low / Median / High Price $777.86 / $777.86 / $1,506.09	Professional		$777.86	$777.86	$1,506.09