Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,467.29 / $1,467.29 / $1,637.90	Facility		$1,467.29	$1,467.29	$1,637.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,637.90 / $1,906.80 / $4,009.59	Professional		$1,637.90	$1,906.80	$4,009.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.14 / $589.10 / $1,557.54	Facility		$489.14	$589.10	$1,557.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,974.00 / $4,019.14 / $11,138.91	Professional		$1,974.00	$4,019.14	$11,138.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $621.98 / $1,110.67	Facility		$97.00	$621.98	$1,110.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.35 / $248.35 / $6,067.50	Professional		$248.35	$248.35	$6,067.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $801.00	Professional		$393.93	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $100.00 / $5,250.00	Facility		$65.00	$100.00	$5,250.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $952.18 / $952.18 / $7,378.97	Professional		$952.18	$952.18	$7,378.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $451.20 / $525.34 / $3,138.41	Facility		$451.20	$525.34	$3,138.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $248.35 / $248.35 / $525.34	Professional		$248.35	$248.35	$525.34
United Facility/Professional Professional Modifier Low / Median / High Price $209.65 / $241.11 / $1,747.10	Professional		$209.65	$241.11	$1,747.10