Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $610.55 / $4,485.30 / $15,095.40	Facility		$610.55	$4,485.30	$15,095.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.22 / $402.32 / $3,306.43	Professional		$384.22	$402.32	$3,306.43
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 $1,054.93 / $1,054.93 / $1,054.93	Professional		$1,054.93	$1,054.93	$1,054.93
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 / $1,874.50 / $1,874.50	Facility		$100.00	$1,874.50	$1,874.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,666.22 / $1,666.22 / $1,666.22	Professional		$1,666.22	$1,666.22	$1,666.22
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 $402.32 / $402.32 / $1,261.46	Facility		$402.32	$402.32	$1,261.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,054.93 / $1,054.93 / $1,054.93	Professional		$1,054.93	$1,054.93	$1,054.93