Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,364.14 / $2,364.14 / $2,639.04	Facility		$2,364.14	$2,364.14	$2,639.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,639.04 / $3,237.35 / $4,985.96	Professional		$2,639.04	$3,237.35	$4,985.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $393.75 / $472.80 / $1,259.32	Facility		$393.75	$472.80	$1,259.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,793.60 / $4,292.64 / $7,391.84	Professional		$3,793.60	$4,292.64	$7,391.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,008.74 / $1,371.04	Facility		$97.00	$1,008.74	$1,371.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $4,993.43 / $4,993.43 / $6,708.13	Professional		$4,993.43	$4,993.43	$6,708.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $4,884.46 / $5,899.25	Facility		$200.00	$4,884.46	$5,899.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,923.60 / $3,344.98 / $8,118.75	Professional		$2,923.60	$3,344.98	$8,118.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $4,249.00 / $5,504.00	Professional		$393.93	$4,249.00	$5,504.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,876.28 / $21,533.82 / $22,318.92	Facility		$7,876.28	$21,533.82	$22,318.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $555.15 / $3,124.44 / $5,829.89	Facility		$555.15	$3,124.44	$5,829.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $403.00 / $3,344.98 / $4,698.72	Professional		$403.00	$3,344.98	$4,698.72
United Facility/Professional Professional Modifier Low / Median / High Price $2,494.78 / $2,853.93 / $5,308.00	Professional		$2,494.78	$2,853.93	$5,308.00