Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $590.42 / $1,422.72 / $3,314.44	Facility		$590.42	$1,422.72	$3,314.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.09 / $590.42 / $853.63	Professional		$569.09	$590.42	$853.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $634.89 / $1,055.66 / $2,367.64	Facility		$634.89	$1,055.66	$2,367.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $533.52 / $604.66 / $1,116.46	Professional		$533.52	$604.66	$1,116.46
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $896.19	Facility		$77.09	$100.00	$896.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $640.22 / $640.22 / $1,349.07	Professional		$640.22	$640.22	$1,349.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $628.37 / $628.37 / $628.37	Facility		$628.37	$628.37	$628.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $628.37 / $628.37 / $711.36	Professional		$628.37	$628.37	$711.36
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 $812.24 / $2,464.60 / $2,464.60	Facility		$812.24	$2,464.60	$2,464.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,280.92 / $3,280.92 / $3,575.48	Professional		$3,280.92	$3,280.92	$3,575.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $1,365.44 / $1,365.44	Professional		$60.00	$1,365.44	$1,365.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $513.16 / $628.37 / $744.67	Facility		$513.16	$628.37	$744.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $628.37 / $628.37 / $770.64	Professional		$628.37	$628.37	$770.64
United Facility/Professional Professional Modifier Low / Median / High Price $592.79 / $592.79 / $1,093.57	Professional		$592.79	$592.79	$1,093.57