Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $844.45 / $2,189.13 / $3,863.33	Facility		$844.45	$2,189.13	$3,863.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,156.79 / $1,457.56 / $3,735.00	Professional		$1,156.79	$1,457.56	$3,735.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,115.04 / $1,348.24 / $1,749.07	Facility		$1,115.04	$1,348.24	$1,749.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $1,238.93 / $2,419.55	Professional		$1,214.63	$1,238.93	$2,419.55
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $75.70 / $97.40 / $1,457.56	Facility		$75.70	$97.40	$1,457.56
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $3,062.63	Professional		$1,238.93	$1,238.93	$3,062.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Facility		$1,238.93	$1,238.93	$1,238.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Professional		$1,238.93	$1,238.93	$1,238.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $1,463.00 / $4,017.00	Professional		$393.93	$1,463.00	$4,017.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,384.68 / $2,915.12 / $5,205.56	Facility		$1,384.68	$2,915.12	$5,205.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,736.92	Facility		$1,238.93	$1,238.93	$1,736.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,799.33	Professional		$1,238.93	$1,238.93	$1,799.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $1,579.02 / $2,064.87	Professional		$1,214.63	$1,579.02	$2,064.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $1,214.63 / $2,479.30	Professional		$1,214.63	$1,214.63	$2,479.30