Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,015.62 / $2,288.21 / $2,692.01	Facility		$1,015.62	$2,288.21	$2,692.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $844.31 / $1,015.62 / $1,729.60	Professional		$844.31	$1,015.62	$1,729.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $535.22 / $1,034.27 / $1,537.53	Facility		$535.22	$1,034.27	$1,537.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.76 / $1,040.08 / $2,031.24	Professional		$161.76	$1,040.08	$2,031.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $1,223.64	Facility		$77.09	$100.00	$1,223.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,015.62 / $1,015.62 / $2,374.58	Professional		$1,015.62	$1,015.62	$2,374.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.08 / $1,040.08 / $1,040.08	Facility		$1,040.08	$1,040.08	$1,040.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,040.08 / $1,040.08 / $1,040.08	Professional		$1,040.08	$1,040.08	$1,040.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $1,195.00 / $1,721.00	Professional		$393.93	$1,195.00	$1,721.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,162.46 / $3,965.29 / $5,404.40	Facility		$1,162.46	$3,965.29	$5,404.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $322.80 / $1,040.08 / $1,452.34	Facility		$322.80	$1,040.08	$1,452.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $153.79 / $761.66 / $1,040.08	Professional		$153.79	$761.66	$1,040.08
United Facility/Professional Professional Modifier Low / Median / High Price $1,019.70 / $1,019.70 / $2,222.37	Professional		$1,019.70	$1,019.70	$2,222.37