Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,390.40 / $2,390.40 / $2,390.40	Facility		$2,390.40	$2,390.40	$2,390.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,304.00 / $2,390.40 / $2,448.00	Professional		$2,304.00	$2,390.40	$2,448.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,040.00 / $2,304.00 / $2,736.00	Professional		$2,040.00	$2,304.00	$2,736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.00 / $396.00 / $396.00	Professional		$396.00	$396.00	$396.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $1,291.00 / $3,821.00	Professional		$393.93	$1,291.00	$3,821.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,736.00 / $5,760.00 / $10,800.00	Facility		$2,736.00	$5,760.00	$10,800.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,944.00 / $10,944.00 / $12,960.00	Professional		$10,944.00	$10,944.00	$12,960.00
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 $2,390.40 / $2,880.00 / $2,880.00	Facility		$2,390.40	$2,880.00	$2,880.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $396.00 / $396.00 / $2,904.00	Professional		$396.00	$396.00	$2,904.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,400.00 / $2,400.00 / $4,818.47	Professional		$2,400.00	$2,400.00	$4,818.47