Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $1,819.70	Professional		$645.65	$645.65	$1,819.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $295.12 / $426.58	Professional		$199.53	$295.12	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $131.83 / $831.76	Professional		$120.23	$131.83	$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 $645.65 / $1,096.48 / $2,344.23	Facility		$645.65	$1,096.48	$2,344.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $79.43	Professional		$60.26	$79.43	$79.43