Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,240.02 / $1,240.02 / $1,240.02	Facility		$1,240.02	$1,240.02	$1,240.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,195.20 / $1,240.02 / $1,269.90	Professional		$1,195.20	$1,240.02	$1,269.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,237.64 / $1,473.59 / $2,493.19	Facility		$1,237.64	$1,473.59	$2,493.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,245.00 / $1,344.60 / $2,554.73	Professional		$1,245.00	$1,344.60	$2,554.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $100.00 / $1,867.50	Facility		$77.20	$100.00	$1,867.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $296.76 / $296.76 / $658.81	Professional		$296.76	$296.76	$658.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,269.90 / $1,269.90 / $1,269.90	Facility		$1,269.90	$1,269.90	$1,269.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,269.90 / $1,269.90 / $1,269.90	Professional		$1,269.90	$1,269.90	$1,269.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $638.07 / $801.00	Professional		$129.00	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,602.00 / $2,988.00 / $5,602.50	Facility		$1,602.00	$2,988.00	$5,602.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,677.20 / $5,677.20 / $6,723.00	Professional		$5,677.20	$5,677.20	$6,723.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $632.91 / $632.91	Professional		$70.00	$632.91	$632.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $291.27 / $291.27 / $1,494.00	Facility		$291.27	$291.27	$1,494.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,269.90 / $1,269.90 / $1,668.75	Professional		$1,269.90	$1,269.90	$1,668.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,245.00 / $1,245.00 / $2,364.01	Professional		$1,245.00	$1,245.00	$2,364.01