Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,000.00 / $2,630.27	Facility		$831.76	$1,000.00	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $831.76	Professional		$117.49	$117.49	$831.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $3.98 / $3.98	Professional		$0.03	$3.98	$3.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $131.83 / $831.76	Professional		$120.23	$131.83	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $169.82 / $1,047.13	Facility		$117.49	$169.82	$1,047.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Professional		$10.96	$10.96	$10.96