Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,117.18 / $1,117.18 / $1,247.08	Facility		$1,117.18	$1,117.18	$1,247.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,117.18 / $1,529.85 / $3,173.03	Professional		$1,117.18	$1,529.85	$3,173.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.13 / $223.50 / $595.29	Facility		$186.13	$223.50	$595.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,652.70 / $2,339.10 / $4,947.51	Professional		$1,652.70	$2,339.10	$4,947.51
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $482.02 / $860.75	Facility		$97.00	$482.02	$860.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3,890.69 / $5,266.17 / $7,259.93	Professional		$3,890.69	$5,266.17	$7,259.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,787.80 / $2,787.80 / $2,787.80	Facility		$2,787.80	$2,787.80	$2,787.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,837.98 / $2,837.98 / $5,170.31	Professional		$2,837.98	$2,837.98	$5,170.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $2,860.00 / $3,705.00	Professional		$393.93	$2,860.00	$3,705.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,264.27 / $18,269.96 / $18,936.02	Facility		$2,264.27	$18,269.96	$18,936.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.16 / $1,870.51 / $4,631.59	Facility		$407.16	$1,870.51	$4,631.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $346.09 / $2,837.98 / $3,649.31	Professional		$346.09	$2,837.98	$3,649.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,369.46 / $1,713.46 / $3,739.47	Professional		$1,369.46	$1,713.46	$3,739.47