Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $112.20 / $204.17	Facility		$79.43	$112.20	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $97.72 / $177.83	Professional		$66.07	$97.72	$177.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $75.86 / $93.33	Professional		$56.23	$75.86	$93.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $123.03 / $257.04	Facility		$107.15	$123.03	$257.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $102.33 / $208.93	Professional		$61.66	$102.33	$208.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $87.10 / $154.88	Facility		$70.79	$87.10	$154.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $112.20 / $239.88	Professional		$87.10	$112.20	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $107.15 / $213.80	Professional		$89.13	$107.15	$213.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $141.25 / $257.04	Facility		$95.50	$141.25	$257.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.15 / $165.96	Professional		$79.43	$107.15	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $190.55 / $190.55	Facility		$93.33	$190.55	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $102.33 / $199.53	Professional		$97.72	$102.33	$199.53