Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $177.83 / $524.81	Professional		$138.04	$177.83	$524.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $269.15 / $562.34	Professional		$169.82	$269.15	$562.34
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $229.09 / $575.44	Professional		$162.18	$229.09	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.78 / $416.87	Professional		$181.97	$218.78	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $190.55 / $407.38	Professional		$141.25	$190.55	$407.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $645.65	Professional		$169.82	$218.78	$645.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $208.93 / $295.12	Professional		$165.96	$208.93	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $208.93 / $575.44	Professional		$128.82	$208.93	$575.44