Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $77.62 / $288.40	Professional		$34.67	$77.62	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $190.55	Professional		$28.18	$28.18	$190.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $91.20 / $169.82	Professional		$58.88	$91.20	$169.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $87.10 / $199.53	Professional		$66.07	$87.10	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $64.57 / $114.82	Professional		$48.98	$64.57	$114.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $43.65 / $154.88	Professional		$32.36	$43.65	$154.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $74.13 / $158.49	Professional		$41.69	$74.13	$158.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $72.44 / $107.15	Professional		$38.02	$72.44	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $61.66 / $138.04	Professional		$28.84	$61.66	$138.04