Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,354.80 / $2,354.80 / $2,354.80	Facility		$2,354.80	$2,354.80	$2,354.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,159.52 / $2,354.80 / $3,320.77	Professional		$2,159.52	$2,354.80	$3,320.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.08 / $142.97 / $380.83	Facility		$119.08	$142.97	$380.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,472.20 / $3,183.40 / $6,508.08	Professional		$1,472.20	$3,183.40	$6,508.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $709.92 / $1,348.19	Facility		$96.60	$709.92	$1,348.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3,009.96 / $4,134.87 / $4,134.87	Professional		$3,009.96	$4,134.87	$4,134.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.86 / $2,095.19 / $3,360.51	Facility		$209.86	$2,095.19	$3,360.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,472.88 / $1,472.88 / $3,637.50	Professional		$1,472.88	$1,472.88	$3,637.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $4,686.80 / $4,966.00	Professional		$638.07	$4,686.80	$4,966.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $9,481.87 / $9,827.61	Facility		$100.00	$9,481.87	$9,827.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $180.68 / $2,354.80 / $3,296.69	Facility		$180.68	$2,354.80	$3,296.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $180.68 / $1,472.88 / $2,354.80	Professional		$180.68	$1,472.88	$2,354.80
United Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $298.79 / $1,940.74	Professional		$163.19	$298.79	$1,940.74