Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.40 / $398.40 / $398.40	Facility		$398.40	$398.40	$398.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.00 / $398.40 / $408.00	Professional		$384.00	$398.40	$408.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $384.00 / $408.00 / $456.00	Professional		$384.00	$408.00	$456.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $408.00 / $408.00	Facility		$408.00	$408.00	$408.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $408.00 / $408.00	Professional		$408.00	$408.00	$408.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.00 / $153.00 / $638.07	Professional		$107.00	$153.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $456.00 / $960.00 / $1,800.00	Facility		$456.00	$960.00	$1,800.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,824.00 / $1,824.00 / $2,160.00	Professional		$1,824.00	$1,824.00	$2,160.00
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 $398.40 / $480.00 / $480.00	Facility		$398.40	$480.00	$480.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $408.00 / $408.00	Professional		$408.00	$408.00	$408.00
United Facility/Professional Professional Modifier Low / Median / High Price $480.00 / $480.00 / $911.42	Professional		$480.00	$480.00	$911.42