Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.56 / $3,459.79 / $9,113.45	Facility		$758.56	$3,459.79	$9,113.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.61 / $758.56 / $758.56	Professional		$630.61	$758.56	$758.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $483.82 / $807.99 / $1,337.32	Facility		$483.82	$807.99	$1,337.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $761.61 / $776.84 / $1,514.83	Professional		$761.61	$776.84	$1,514.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $601.28 / $2,345.23	Facility		$92.60	$601.28	$2,345.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.84 / $776.84 / $776.84	Facility		$776.84	$776.84	$776.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.84 / $776.84 / $776.84	Professional		$776.84	$776.84	$776.84
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 $868.23 / $3,472.92 / $3,472.92	Facility		$868.23	$3,472.92	$3,472.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,472.93 / $3,472.93 / $4,112.68	Professional		$3,472.93	$3,472.93	$4,112.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.56 / $776.84 / $1,084.74	Facility		$758.56	$776.84	$1,084.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $776.84 / $776.84 / $776.84	Professional		$776.84	$776.84	$776.84
United Facility/Professional Professional Modifier Low / Median / High Price $761.61 / $761.61 / $1,503.42	Professional		$761.61	$761.61	$1,503.42