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 $1,778.28 / $1,819.70 / $1,862.09	Professional		$1,778.28	$1,819.70	$1,862.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,511.89 / $6,309.57	Facility		$1,995.26	$2,511.89	$6,309.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,089.30 / $4,570.88	Professional		$1,995.26	$2,089.30	$4,570.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility		$1,862.09	$1,862.09	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $1,122.02 / $4,265.80	Professional		$131.83	$1,122.02	$4,265.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Facility		$6,606.93	$6,606.93	$6,606.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Professional		$10,000.00	$10,000.00	$10,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,187.76 / $3,388.44	Facility		$1,819.70	$2,187.76	$3,388.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,187.76	Professional		$1,862.09	$1,862.09	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Facility		$7,943.28	$7,943.28	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $3,162.28	Professional		$2,187.76	$2,187.76	$3,162.28