Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,030.50 / $2,030.50 / $2,266.61	Facility		$2,030.50	$2,030.50	$2,266.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,006.52 / $2,266.61 / $3,233.12	Professional		$2,006.52	$2,266.61	$3,233.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $333.89 / $400.92 / $1,067.85	Facility		$333.89	$400.92	$1,067.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,751.98 / $3,496.60 / $3,754.11	Professional		$1,751.98	$3,496.60	$3,754.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $593.92 / $1,127.92	Facility		$96.60	$593.92	$1,127.92
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 $3,685.49 / $3,685.49 / $3,685.49	Facility		$3,685.49	$3,685.49	$3,685.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,910.00 / $3,132.67 / $3,685.49	Professional		$2,910.00	$3,132.67	$3,685.49
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 / $2,350.35 / $3,685.49	Facility		$180.68	$2,350.35	$3,685.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,950.00 / $3,685.49 / $3,685.49	Professional		$1,950.00	$3,685.49	$3,685.49
United Facility/Professional Professional Modifier Low / Median / High Price $154.44 / $261.14 / $1,417.08	Professional		$154.44	$261.14	$1,417.08