Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $1,989.59	Facility		$1,969.89	$1,969.89	$1,989.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $2,068.38	Professional		$1,969.89	$1,969.89	$2,068.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,727.27 / $2,076.59 / $3,513.42	Facility		$1,727.27	$2,076.59	$3,513.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,789.55 / $1,969.89 / $4,220.63	Professional		$1,789.55	$1,969.89	$4,220.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,378.92 / $1,477.42 / $3,447.31	Professional		$1,378.92	$1,477.42	$3,447.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,858.38 / $1,858.38 / $1,969.89	Facility		$1,858.38	$1,858.38	$1,969.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $2,137.14	Professional		$1,969.89	$1,969.89	$2,137.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,772.90 / $2,462.36 / $4,294.35	Professional		$1,772.90	$2,462.36	$4,294.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,566.14 / $4,051.80 / $5,402.40	Facility		$2,566.14	$4,051.80	$5,402.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,454.20 / $10,264.56 / $12,155.40	Professional		$9,454.20	$10,264.56	$12,155.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,969.89 / $2,089.07 / $3,363.45	Facility		$1,969.89	$2,089.07	$3,363.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $2,701.20	Professional		$1,969.89	$1,969.89	$2,701.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,575.91 / $2,166.88 / $2,166.88	Professional		$1,575.91	$2,166.88	$2,166.88
United Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $3,740.43	Professional		$1,969.89	$1,969.89	$3,740.43