Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $114.82 / $371.54	Professional		$69.18	$114.82	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $64.57 / $323.59	Professional		$53.70	$64.57	$323.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $120.23 / $251.19	Professional		$75.86	$120.23	$251.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $112.20 / $288.40	Professional		$83.18	$112.20	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $93.33 / $147.91	Professional		$75.86	$93.33	$147.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $87.10 / $245.47	Professional		$66.07	$87.10	$245.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $93.33 / $281.84	Professional		$74.13	$93.33	$281.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $93.33 / $134.90	Professional		$74.13	$93.33	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $93.33 / $257.04	Professional		$56.23	$93.33	$257.04