Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,657.34	Facility		$1,640.93	$1,640.93	$1,657.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,805.02	Professional		$1,640.93	$1,640.93	$1,805.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,583.83 / $1,904.14 / $3,221.64	Facility		$1,583.83	$1,904.14	$3,221.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,702.86 / $3,715.31	Professional		$1,640.93	$1,702.86	$3,715.31
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 $1,548.05 / $1,548.05 / $1,640.93	Facility		$1,548.05	$1,548.05	$1,640.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,640.93	Professional		$1,640.93	$1,640.93	$1,640.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,476.84 / $2,051.16 / $3,577.23	Professional		$1,476.84	$2,051.16	$3,577.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,773.90 / $2,631.69 / $5,493.04	Facility		$1,773.90	$2,631.69	$5,493.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,460.00 / $5,857.77 / $6,941.34	Professional		$5,460.00	$5,857.77	$6,941.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $2,207.34 / $3,351.89	Professional		$70.00	$2,207.34	$3,351.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,640.93 / $1,690.16 / $2,794.19	Facility		$1,640.93	$1,690.16	$2,794.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,962.08	Professional		$1,640.93	$1,640.93	$1,962.08
United Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $2,957.12	Professional		$1,640.93	$1,640.93	$2,957.12