Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,030.90 / $1,030.90 / $1,030.90	Facility		$1,030.90	$1,030.90	$1,030.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $815.47 / $1,030.90 / $1,296.02	Professional		$815.47	$1,030.90	$1,296.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.71 / $181.00 / $476.70	Facility		$149.71	$181.00	$476.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $978.90 / $1,349.30 / $3,166.91	Professional		$978.90	$1,349.30	$3,166.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $276.05 / $468.05	Facility		$96.60	$276.05	$468.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $870.39 / $1,198.46 / $1,994.40	Professional		$870.39	$1,198.46	$1,994.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $936.57 / $936.57 / $936.57	Facility		$936.57	$936.57	$936.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $796.08 / $796.08 / $936.57	Professional		$796.08	$796.08	$936.57
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 / $6,600.33 / $6,840.95	Facility		$100.00	$6,600.33	$6,840.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,403.49 / $6,403.49 / $10,548.23	Professional		$6,403.49	$6,403.49	$10,548.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $126.90 / $260.14	Professional		$60.00	$126.90	$260.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.76 / $922.82 / $1,872.26	Facility		$125.76	$922.82	$1,872.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $133.69 / $796.08 / $936.57	Professional		$133.69	$796.08	$936.57
United Facility/Professional Professional Modifier Low / Median / High Price $78.19 / $114.55 / $496.52	Professional		$78.19	$114.55	$496.52