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 $640.32 / $896.80 / $1,019.94	Professional		$640.32	$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 $700.20 / $880.30 / $2,181.94	Professional		$700.20	$880.30	$2,181.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $216.55 / $385.57	Facility		$92.60	$216.55	$385.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $625.44 / $861.18 / $1,433.12	Professional		$625.44	$861.18	$1,433.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.45 / $79.45 / $1,017.80	Facility		$79.45	$79.45	$1,017.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $750.60 / $750.60 / $750.60	Professional		$750.60	$750.60	$750.60
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 / $4,832.10 / $5,008.26	Facility		$100.00	$4,832.10	$5,008.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,687.97 / $4,687.97 / $7,722.38	Professional		$4,687.97	$4,687.97	$7,722.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $95.58 / $195.93	Professional		$60.00	$95.58	$195.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.08 / $680.88 / $1,414.31	Facility		$92.08	$680.88	$1,414.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $750.60 / $750.60	Professional		$79.45	$750.60	$750.60
United Facility/Professional Professional Modifier Low / Median / High Price $60.85 / $87.52 / $425.37	Professional		$60.85	$87.52	$425.37