Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.80 / $896.80 / $896.80	Facility		$896.80	$896.80	$896.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $555.95 / $896.80 / $1,019.94	Professional		$555.95	$896.80	$1,019.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.33 / $104.38 / $274.89	Facility		$86.33	$104.38	$274.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $560.10 / $883.21 / $3,153.56	Professional		$560.10	$883.21	$3,153.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $216.55 / $385.57	Facility		$92.60	$216.55	$385.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.59 / $67.59 / $1,045.06	Facility		$67.59	$67.59	$1,045.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $24.99 / $67.59	Professional		$24.99	$24.99	$67.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $638.07 / $801.00	Professional		$283.26	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,296.18 / $3,391.44	Facility		$100.00	$1,296.18	$3,391.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,421.00 / $4,271.12 / $4,271.12	Professional		$2,421.00	$4,271.12	$4,271.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $149.78 / $307.04	Professional		$60.00	$149.78	$307.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.08 / $119.57 / $950.61	Facility		$92.08	$119.57	$950.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $24.99 / $135.65	Professional		$24.99	$24.99	$135.65
United Facility/Professional Professional Modifier Low / Median / High Price $60.85 / $81.14 / $314.02	Professional		$60.85	$81.14	$314.02