Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,086.28 / $2,421.21 / $2,880.16	Facility		$1,086.28	$2,421.21	$2,880.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $807.18 / $1,086.28 / $1,303.54	Professional		$807.18	$1,086.28	$1,303.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $953.93 / $1,168.07 / $1,337.16	Facility		$953.93	$1,168.07	$1,337.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $981.58 / $1,112.45 / $2,313.89	Professional		$981.58	$1,112.45	$2,313.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,678.49 / $3,056.84	Facility		$97.00	$1,678.49	$3,056.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,177.89 / $1,177.89 / $2,871.34	Professional		$1,177.89	$1,177.89	$2,871.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,001.02 / $1,001.02 / $1,001.02	Facility		$1,001.02	$1,001.02	$1,001.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,271.59 / $2,748.23 / $2,885.64	Professional		$1,271.59	$2,748.23	$2,885.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $638.07 / $801.00	Professional		$283.26	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,725.37 / $4,752.43 / $4,925.70	Facility		$1,725.37	$4,752.43	$4,925.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,826.31 / $5,826.31 / $7,595.10	Professional		$5,826.31	$5,826.31	$7,595.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $2,512.13 / $2,512.13	Professional		$60.00	$2,512.13	$2,512.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $991.52 / $1,156.08 / $1,595.90	Facility		$991.52	$1,156.08	$1,595.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,846.81 / $1,800,000.00 / $2,400,000.00	Professional		$1,846.81	$1,800,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,308.77 / $1,308.77 / $2,298.10	Professional		$1,308.77	$1,308.77	$2,298.10