Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $416.87	Professional		$371.54	$371.54	$416.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $389.05 / $1,659.59	Facility		$331.13	$389.05	$1,659.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $3,801.89	Professional		$380.19	$380.19	$3,801.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,548.13 / $6,025.60	Professional		$2,290.87	$3,548.13	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $10,000.00 / $12,022.64	Professional		$186.21	$10,000.00	$12,022.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $281.84 / $831.76	Professional		$104.71	$281.84	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $501.19	Professional		$50.12	$50.12	$501.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $416.87 / $8,709.64	Facility		$371.54	$416.87	$8,709.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $186.21	Professional		$60.26	$79.43	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $302.00	Professional		$44.67	$44.67	$302.00