Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $1,606.45	Facility		$1,590.54	$1,590.54	$1,606.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $1,670.07	Professional		$1,590.54	$1,590.54	$1,670.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,596.27 / $1,919.09 / $3,246.94	Facility		$1,596.27	$1,919.09	$3,246.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,716.22 / $3,900.50	Professional		$1,590.54	$1,716.22	$3,900.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,500.51 / $1,500.51 / $1,590.54	Facility		$1,500.51	$1,500.51	$1,590.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $1,950.66	Professional		$1,590.54	$1,590.54	$1,950.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,431.49 / $1,988.18 / $3,467.38	Professional		$1,431.49	$1,988.18	$3,467.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,550.00 / $5,246.22 / $11,250.00	Facility		$2,550.00	$5,246.22	$11,250.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,500.00 / $10,500.00 / $11,400.00	Professional		$10,500.00	$10,500.00	$11,400.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $186.69 / $283.49	Professional		$70.00	$186.69	$283.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,590.54 / $1,654.16 / $2,738.81	Facility		$1,590.54	$1,654.16	$2,738.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $3,000.00	Professional		$1,590.54	$1,590.54	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $3,055.43	Professional		$1,590.54	$1,590.54	$3,055.43