Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,429.29 / $9,563.40 / $25,621.46	Facility		$3,429.29	$9,563.40	$25,621.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,365.16 / $6,090.55 / $28,200.00	Professional		$1,365.16	$6,090.55	$28,200.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.01 / $20.01 / $20.01	Professional		$20.01	$20.01	$20.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,326.50 / $1,326.50 / $1,326.50	Professional		$1,326.50	$1,326.50	$1,326.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $801.00	Professional		$393.93	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,409.35 / $5,409.35	Facility		$100.00	$5,409.35	$5,409.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,983.66 / $3,983.66 / $3,983.66	Professional		$3,983.66	$3,983.66	$3,983.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,204.07 / $3,859.17 / $4,887.10	Facility		$1,204.07	$3,859.17	$4,887.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,326.50 / $1,326.50 / $1,326.50	Professional		$1,326.50	$1,326.50	$1,326.50