Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.60 / $24.60 / $24.60	Facility		$24.60	$24.60	$24.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.97 / $19.57 / $90.00	Professional		$17.97	$19.57	$90.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.43 / $36.43 / $75.00	Professional		$16.43	$36.43	$75.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.79 / $29.88 / $29.88	Facility		$27.79	$29.88	$29.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $28.75 / $50.00	Professional		$21.00	$28.75	$50.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.18 / $350.60 / $902.60	Facility		$77.18	$350.60	$902.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $27.04 / $82.67	Professional		$23.00	$27.04	$82.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $38.00 / $801.00	Professional		$32.00	$38.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $101.99 / $222.53 / $254.84	Facility		$101.99	$222.53	$254.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $256.41 / $259.38 / $410.25	Professional		$256.41	$259.38	$410.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $85.00	Professional		$50.00	$85.00	$85.00
Optum Facility/Professional Professional Modifier Low / Median / High Price $62.06 / $62.06 / $62.06	Professional		$62.06	$62.06	$62.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $33.46 / $48.14	Facility		$19.00	$33.46	$48.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $27.00 / $55.00	Professional		$23.00	$27.00	$55.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $62.06 / $62.06 / $62.06	Professional		$62.06	$62.06	$62.06
United Facility/Professional Facility Modifier Low / Median / High Price $55.51 / $55.51 / $55.51	Facility		$55.51	$55.51	$55.51
United Facility/Professional Professional Modifier Low / Median / High Price $39.78 / $58.00 / $187.37	Professional		$39.78	$58.00	$187.37