Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $996.00 / $996.00	Facility		$996.00	$996.00	$996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $960.00 / $996.00 / $1,020.00	Professional		$960.00	$996.00	$1,020.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.84 / $112.70 / $960.00	Professional		$100.84	$112.70	$960.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,020.00 / $1,020.00	Facility		$1,020.00	$1,020.00	$1,020.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,020.00 / $1,020.00 / $1,020.00	Professional		$1,020.00	$1,020.00	$1,020.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $393.93 / $801.00	Professional		$129.00	$393.93	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,140.00 / $2,400.00 / $4,500.00	Facility		$1,140.00	$2,400.00	$4,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,560.00 / $4,560.00 / $5,400.00	Professional		$4,560.00	$4,560.00	$5,400.00
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 $996.00 / $1,200.00 / $1,200.00	Facility		$996.00	$1,200.00	$1,200.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,020.00 / $1,020.00 / $1,200.00	Professional		$1,020.00	$1,020.00	$1,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $788.99 / $788.99 / $1,432.96	Professional		$788.99	$788.99	$1,432.96