Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,729.06	Facility		$3,692.14	$3,692.14	$3,729.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,876.75	Professional		$3,692.14	$3,692.14	$3,876.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,678.89 / $4,380.24 / $7,411.01	Facility		$3,678.89	$4,380.24	$7,411.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,988.44 / $9,474.67	Professional		$3,692.14	$3,988.44	$9,474.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $87.40 / $100.00 / $1,445.35	Facility		$87.40	$100.00	$1,445.35
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $2,953.71	Professional		$100.00	$100.00	$2,953.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,483.15 / $3,483.15 / $3,692.14	Facility		$3,483.15	$3,483.15	$3,692.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $3,692.14	Professional		$3,692.14	$3,692.14	$3,692.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,322.93 / $4,615.18 / $8,048.87	Professional		$3,322.93	$4,615.18	$8,048.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,896.15 / $8,289.69 / $12,825.00	Facility		$3,896.15	$8,289.69	$12,825.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,970.00 / $12,996.00 / $14,244.40	Professional		$11,970.00	$12,996.00	$14,244.40
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 $3,692.14 / $3,876.75 / $6,303.84	Facility		$3,692.14	$3,876.75	$6,303.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,562.50 / $3,692.14 / $3,736.50	Professional		$3,562.50	$3,692.14	$3,736.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,953.71 / $4,061.36 / $4,061.36	Professional		$2,953.71	$4,061.36	$4,061.36
United Facility/Professional Professional Modifier Low / Median / High Price $3,692.14 / $3,692.14 / $6,699.02	Professional		$3,692.14	$3,692.14	$6,699.02