Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,782.22 / $1,782.22 / $1,989.46	Facility		$1,782.22	$1,782.22	$1,989.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,782.22 / $1,989.46 / $2,837.73	Professional		$1,782.22	$1,989.46	$2,837.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $238.40 / $286.26 / $762.46	Facility		$238.40	$286.26	$762.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,751.98 / $2,496.60 / $3,754.11	Professional		$1,751.98	$2,496.60	$3,754.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $518.46 / $984.60	Facility		$96.60	$518.46	$984.60
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 $195.00 / $195.00 / $2,095.19	Facility		$195.00	$195.00	$2,095.19
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 $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 / $2,062.98 / $2,887.44	Facility		$180.68	$2,062.98	$2,887.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $180.68 / $1,472.88 / $2,068.96	Professional		$180.68	$1,472.88	$2,068.96
United Facility/Professional Professional Modifier Low / Median / High Price $143.24 / $214.58 / $1,909.85	Professional		$143.24	$214.58	$1,909.85