Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $18.23 / $18.23	Facility		$18.23	$18.23	$18.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $15.00 / $550.99	Professional		$13.33	$15.00	$550.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $18.75 / $26.45	Professional		$17.50	$18.75	$26.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.90 / $14.95 / $14.95	Facility		$13.90	$14.95	$14.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.67 / $14.29 / $27.95	Professional		$10.67	$14.29	$27.95
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 $10.00 / $15.00 / $42.77	Professional		$10.00	$15.00	$42.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $22.00 / $801.00	Professional		$18.00	$22.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $151.40 / $172.90	Facility		$80.00	$151.40	$172.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $174.02 / $178.47 / $279.75	Professional		$174.02	$178.47	$279.75
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 $31.03 / $31.03 / $31.03	Professional		$31.03	$31.03	$31.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.51 / $18.79 / $44.23	Facility		$14.51	$18.79	$44.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.64 / $15.00 / $30.00	Professional		$11.64	$15.00	$30.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $31.03 / $31.03 / $31.03	Professional		$31.03	$31.03	$31.03
United Facility/Professional Facility Modifier Low / Median / High Price $38.28 / $38.28 / $38.28	Facility		$38.28	$38.28	$38.28
United Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $40.00 / $137.44	Professional		$28.00	$40.00	$137.44