Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $414.49 / $414.49 / $414.49	Facility		$414.49	$414.49	$414.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.50 / $414.49 / $424.47	Professional		$399.50	$414.49	$424.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $399.50 / $424.47 / $474.41	Professional		$399.50	$424.47	$474.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $424.47 / $424.47 / $424.47	Facility		$424.47	$424.47	$424.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $424.47 / $424.47 / $424.47	Professional		$424.47	$424.47	$424.47
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 $474.41 / $998.76 / $1,872.68	Facility		$474.41	$998.76	$1,872.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,897.64 / $1,897.64 / $2,247.21	Professional		$1,897.64	$1,897.64	$2,247.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $414.49 / $499.38 / $499.38	Facility		$414.49	$499.38	$499.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $424.47 / $424.47 / $599.26	Professional		$424.47	$424.47	$599.26
United Facility/Professional Professional Modifier Low / Median / High Price $499.42 / $499.42 / $921.68	Professional		$499.42	$499.42	$921.68