Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,826.00 / $1,826.00 / $1,826.00	Facility		$1,826.00	$1,826.00	$1,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,760.00 / $1,826.00 / $1,870.00	Professional		$1,760.00	$1,826.00	$1,870.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,924.91 / $2,314.19 / $3,915.43	Facility		$1,924.91	$2,314.19	$3,915.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,760.00 / $2,090.00 / $4,726.51	Professional		$1,760.00	$2,090.00	$4,726.51
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 $1,870.00 / $1,870.00 / $1,870.00	Facility		$1,870.00	$1,870.00	$1,870.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,870.00 / $1,870.00 / $1,870.00	Professional		$1,870.00	$1,870.00	$1,870.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $1,425.00 / $4,218.00	Professional		$393.93	$1,425.00	$4,218.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,346.25 / $4,400.00 / $8,250.00	Facility		$2,346.25	$4,400.00	$8,250.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,360.00 / $8,360.00 / $9,900.00	Professional		$8,360.00	$8,360.00	$9,900.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $85.00 / $85.00	Professional		$70.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,826.00 / $2,200.00 / $2,200.00	Facility		$1,826.00	$2,200.00	$2,200.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,870.00 / $1,870.00 / $2,750.00	Professional		$1,870.00	$1,870.00	$2,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,200.00 / $2,200.00 / $4,177.35	Professional		$2,200.00	$2,200.00	$4,177.35