Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,979.56 / $2,979.56 / $3,009.35	Facility		$2,979.56	$2,979.56	$3,009.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,979.56 / $2,979.56 / $3,128.53	Professional		$2,979.56	$2,979.56	$3,128.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,800.68 / $3,367.09 / $5,696.83	Facility		$2,800.68	$3,367.09	$5,696.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,901.66 / $3,065.90 / $6,843.53	Professional		$2,901.66	$3,065.90	$6,843.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,085.69 / $2,234.67 / $5,214.22	Professional		$2,085.69	$2,234.67	$5,214.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,810.90 / $2,810.90 / $2,979.55	Facility		$2,810.90	$2,810.90	$2,979.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,979.55 / $2,979.55 / $2,979.55	Professional		$2,979.55	$2,979.55	$2,979.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,681.60 / $3,724.44 / $6,495.42	Professional		$2,681.60	$3,724.44	$6,495.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,808.51 / $8,103.21 / $9,187.50	Facility		$3,808.51	$8,103.21	$9,187.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,975.00 / $10,669.23 / $12,825.00	Professional		$9,975.00	$10,669.23	$12,825.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,979.56 / $3,149.25 / $5,087.14	Facility		$2,979.56	$3,149.25	$5,087.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,979.55 / $2,979.55 / $3,562.50	Professional		$2,979.55	$2,979.55	$3,562.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,383.64 / $3,277.51 / $3,277.51	Professional		$2,383.64	$3,277.51	$3,277.51
United Facility/Professional Professional Modifier Low / Median / High Price $2,979.56 / $2,979.56 / $5,657.59	Professional		$2,979.56	$2,979.56	$5,657.59