Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $75.86 / $263.03	Professional		$54.95	$75.86	$263.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $131.83 / $269.15	Professional		$93.33	$131.83	$269.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $257.04	Professional		$74.13	$104.71	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $100.00 / $190.55	Professional		$81.28	$100.00	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $74.13 / $158.49	Professional		$56.23	$74.13	$158.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $100.00 / $281.84	Professional		$75.86	$100.00	$281.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $95.50 / $144.54	Professional		$66.07	$95.50	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $85.11 / $239.88	Professional		$53.70	$85.11	$239.88