Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $28.18 / $89.13	Professional		$10.47	$28.18	$89.13
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $12.30 / $12.30 / $141.25	Professional	25	$12.30	$12.30	$141.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.39 / $120.23	Professional		$18.20	$22.39	$120.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $28.84 / $74.13	Professional		$13.49	$28.84	$74.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $31.62 / $69.18	Professional		$26.30	$31.62	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.92 / $37.15	Professional		$19.05	$26.92	$37.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $28.18 / $58.88	Professional		$21.38	$28.18	$58.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $32.36 / $79.43	Professional		$16.98	$32.36	$79.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $24.55 / $51.29	Professional		$15.14	$24.55	$51.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $7.59 / $32.36	Professional		$4.47	$7.59	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $21.88 / $57.54	Professional		$14.45	$21.88	$57.54