Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $50.12 / $95.50	Facility		$30.20	$50.12	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $35.48 / $57.54	Professional		$30.20	$35.48	$57.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Professional		$32.36	$32.36	$32.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $39.81 / $79.43	Facility		$32.36	$39.81	$79.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $36.31 / $67.61	Professional		$30.20	$36.31	$67.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $36.31 / $53.70	Facility		$30.90	$36.31	$53.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $43.65 / $102.33	Professional		$33.88	$43.65	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $42.66 / $398.11	Professional		$36.31	$42.66	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $43.65 / $85.11	Facility		$33.88	$43.65	$85.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $44.67 / $57.54	Professional		$33.88	$44.67	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $95.50 / $95.50	Facility		$32.36	$95.50	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $38.90 / $74.13	Professional		$36.31	$38.90	$74.13