Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,485.96 / $5,170.82 / $6,591.30	Facility		$2,485.96	$5,170.82	$6,591.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,396.11 / $2,485.96 / $2,983.16	Professional		$2,396.11	$2,485.96	$2,983.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $451.04 / $953.11 / $3,060.14	Facility		$451.04	$953.11	$3,060.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.95 / $2,545.87 / $4,786.22	Professional		$346.95	$2,545.87	$4,786.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $2,995.14	Facility		$77.09	$100.00	$2,995.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,485.96 / $2,485.96 / $5,238.43	Professional		$2,485.96	$2,485.96	$5,238.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,545.87 / $2,545.87 / $2,545.87	Facility		$2,545.87	$2,545.87	$2,545.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,545.87 / $2,545.87 / $2,545.87	Professional		$2,545.87	$2,545.87	$2,545.87
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 $2,995.14 / $13,228.55 / $13,228.55	Facility		$2,995.14	$13,228.55	$13,228.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,381.53 / $11,381.53 / $13,478.13	Professional		$11,381.53	$11,381.53	$13,478.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $753.92	Professional		$60.00	$60.00	$753.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $283.07 / $2,396.11 / $2,995.14	Facility		$283.07	$2,396.11	$2,995.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,545.87 / $2,545.87 / $3,119.94	Professional		$2,545.87	$2,545.87	$3,119.94
United Facility/Professional Professional Modifier Low / Median / High Price $2,495.94 / $2,495.94 / $4,805.20	Professional		$2,495.94	$2,495.94	$4,805.20