Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $134.90 / $316.23	Facility		$70.79	$134.90	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $100.00 / $239.88	Professional		$70.79	$100.00	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $338.84	Professional		$75.86	$75.86	$338.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $97.72 / $199.53	Facility		$81.28	$97.72	$199.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $87.10 / $186.21	Professional		$70.79	$87.10	$186.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $81.28 / $107.15	Facility		$72.44	$81.28	$107.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $107.15 / $234.42	Professional		$81.28	$107.15	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $83.18 / $165.96	Professional		$67.61	$83.18	$165.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $107.15 / $208.93	Facility		$75.86	$107.15	$208.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $83.18 / $128.82	Professional		$60.26	$83.18	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $234.42 / $234.42	Facility		$81.28	$234.42	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $87.10 / $173.78	Professional		$77.62	$87.10	$173.78