Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $355.88 / $355.88 / $359.43	Facility		$355.88	$355.88	$359.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.88 / $355.88 / $370.11	Professional		$355.88	$355.88	$370.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.49 / $355.88 / $400.80	Professional		$302.49	$355.88	$400.80
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 $83.00 / $132.00 / $638.07	Professional		$83.00	$132.00	$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
Providence Facility/Professional Facility Modifier Low / Median / High Price $355.88 / $355.88 / $452.88	Facility		$355.88	$355.88	$452.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $408.00 / $480.00	Professional		$408.00	$408.00	$480.00
United Facility/Professional Professional Modifier Low / Median / High Price $480.00 / $480.00 / $885.84	Professional		$480.00	$480.00	$885.84