Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Professional		$5,128.61	$5,128.61	$5,128.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $7,585.78	Professional		$5,248.07	$5,248.07	$7,585.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $16,595.87 / $16,595.87	Facility		$16,595.87	$16,595.87	$16,595.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $7,079.46 / $15,488.17	Professional		$5,623.41	$7,079.46	$15,488.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $831.76	Professional		$630.96	$630.96	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $6,918.31	Facility		$5,128.61	$5,128.61	$6,918.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $10,232.93 / $16,595.87	Professional		$5,128.61	$10,232.93	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88