Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.97 / $300.97 / $2,022.93	Facility		$300.97	$300.97	$2,022.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.02 / $300.97 / $4,815.52	Professional		$118.02	$300.97	$4,815.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $219.25 / $264.06 / $698.14	Facility		$219.25	$264.06	$698.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $274.32 / $295.64 / $304.80	Professional		$274.32	$295.64	$304.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $552.79 / $776.93 / $1,140.15	Professional		$552.79	$776.93	$1,140.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $287.92 / $482.61 / $482.61	Facility		$287.92	$482.61	$482.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.22 / $410.22 / $482.61	Professional		$410.22	$410.22	$482.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $328.00 / $409.00 / $638.07	Professional		$328.00	$409.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $572.41 / $1,271.33 / $1,271.33	Facility		$572.41	$1,271.33	$1,271.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,503.79 / $1,503.79 / $1,960.28	Professional		$1,503.79	$1,503.79	$1,960.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $161.40 / $294.01 / $482.61	Facility		$161.40	$294.01	$482.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $410.22 / $410.22 / $482.61	Professional		$410.22	$410.22	$482.61
United Facility/Professional Professional Modifier Low / Median / High Price $148.87 / $200.08 / $385.24	Professional		$148.87	$200.08	$385.24