Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,214.28 / $3,003.52 / $7,639.73	Facility		$1,214.28	$3,003.52	$7,639.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,009.46 / $1,214.28 / $2,067.92	Professional		$1,009.46	$1,214.28	$2,067.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,293.41 / $2,044.94 / $4,584.06	Facility		$1,293.41	$2,044.94	$4,584.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,219.16 / $1,243.54 / $2,428.56	Professional		$1,219.16	$1,243.54	$2,428.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $1,894.35	Facility		$77.09	$100.00	$1,894.35
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,214.28 / $1,214.28 / $3,001.70	Professional		$1,214.28	$1,214.28	$3,001.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,243.54 / $1,243.54 / $1,243.54	Facility		$1,243.54	$1,243.54	$1,243.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,243.54 / $1,243.54 / $1,243.54	Professional		$1,243.54	$1,243.54	$1,243.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $1,810.00 / $2,608.00	Professional		$393.93	$1,810.00	$2,608.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,349.36 / $6,243.00 / $6,401.25	Facility		$1,349.36	$6,243.00	$6,401.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,243.54 / $1,243.54 / $1,736.42	Facility		$1,243.54	$1,243.54	$1,736.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,243.54 / $1,243.54 / $1,243.54	Professional		$1,243.54	$1,243.54	$1,243.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,219.16 / $1,584.91 / $2,072.57	Professional		$1,219.16	$1,584.91	$2,072.57
United Facility/Professional Professional Modifier Low / Median / High Price $1,219.16 / $1,219.16 / $2,596.57	Professional		$1,219.16	$1,219.16	$2,596.57