Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,133.39 / $5,133.39 / $5,133.39	Professional		$5,133.39	$5,133.39	$5,133.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.34 / $637.50 / $637.50	Facility		$575.34	$637.50	$637.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,770.67 / $5,305.45 / $7,484.00	Professional		$4,770.67	$5,305.45	$7,484.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,740.00 / $16,740.00 / $16,740.00	Facility		$16,740.00	$16,740.00	$16,740.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,159.12 / $15,500.00 / $16,740.00	Professional		$10,159.12	$15,500.00	$16,740.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $638.07 / $801.00	Professional		$638.07	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $80.00 / $100.00	Facility		$65.00	$80.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,133.39 / $5,133.39 / $6,850.00	Facility		$5,133.39	$5,133.39	$6,850.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $10,159.12 / $15,500.00 / $16,740.00	Professional		$10,159.12	$15,500.00	$16,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $183.73 / $183.73 / $183.73	Professional		$183.73	$183.73	$183.73