Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $64.57 / $288.40	Facility		$30.90	$64.57	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $47.86 / $104.71	Professional		$30.90	$47.86	$104.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $33.11 / $141.25	Professional		$31.62	$33.11	$141.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $41.69 / $87.10	Facility		$36.31	$41.69	$87.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $34.67 / $75.86	Professional		$31.62	$34.67	$75.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $34.67 / $52.48	Facility		$29.51	$34.67	$52.48
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $42.66 / $100.00	Professional		$33.11	$42.66	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $36.31 / $75.86	Professional		$30.20	$36.31	$75.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $47.86 / $87.10	Facility		$33.11	$47.86	$87.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $36.31 / $56.23	Professional		$26.30	$36.31	$56.23
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 $33.11 / $35.48 / $70.79	Professional		$33.11	$35.48	$70.79