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 $18.50 / $19.63 / $390.00	Professional		$18.50	$19.63	$390.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $22.30 / $33.29	Professional		$17.50	$22.30	$33.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.44 / $33.79 / $33.79	Facility		$31.44	$33.79	$33.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $30.10 / $53.28	Professional		$16.07	$30.10	$53.28
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 $20.00 / $25.00 / $81.00	Professional		$20.00	$25.00	$81.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $36.00 / $801.00	Professional		$34.00	$36.00	$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 $36.77 / $36.77 / $36.77	Professional		$36.77	$36.77	$36.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $25.22 / $45.70	Facility		$19.00	$25.22	$45.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $24.00 / $81.00	Professional		$18.00	$24.00	$81.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $36.77 / $36.77	Professional		$36.77	$36.77	$36.77
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 / $38.28 / $129.00	Professional		$28.00	$38.28	$129.00