Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,468.75 / $1,468.75 / $1,639.54	Facility		$1,468.75	$1,468.75	$1,639.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,468.75 / $1,714.20 / $2,483.90	Professional		$1,468.75	$1,714.20	$2,483.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.63 / $293.74 / $782.37	Facility		$244.63	$293.74	$782.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,630.79 / $2,561.83 / $3,754.11	Professional		$1,630.79	$2,561.83	$3,754.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $427.28 / $811.44	Facility		$96.60	$427.28	$811.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,680.26 / $2,274.29 / $3,135.32	Professional		$1,680.26	$2,274.29	$3,135.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $303.33 / $303.33 / $303.33	Facility		$303.33	$303.33	$303.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.83 / $257.83 / $2,887.50	Professional		$257.83	$257.83	$2,887.50
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 / $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 / $1,700.15 / $2,640.10	Facility		$180.68	$1,700.15	$2,640.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.83 / $303.33 / $1,700.15	Professional		$257.83	$303.33	$1,700.15
United Facility/Professional Professional Modifier Low / Median / High Price $129.71 / $194.65 / $1,923.74	Professional		$129.71	$194.65	$1,923.74