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 / $57.50	Professional		$17.97	$19.57	$57.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.46 / $21.83 / $35.00	Professional		$17.46	$21.83	$35.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.57 / $32.86 / $32.86	Facility		$30.57	$32.86	$32.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $29.15 / $52.03	Professional		$17.50	$29.15	$52.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.18 / $350.60 / $902.60	Facility		$77.18	$350.60	$902.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $20.66 / $39.35	Professional		$10.70	$20.66	$39.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $24.00 / $55.00	Professional		$20.00	$24.00	$55.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.74 / $19.28 / $36.00	Professional		$6.74	$19.28	$36.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $160.47 / $183.45	Facility		$80.00	$160.47	$183.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $180.95 / $185.58 / $274.35	Professional		$180.95	$185.58	$274.35
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 $32.17 / $32.17 / $32.17	Professional		$32.17	$32.17	$32.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.01 / $24.60 / $32.22	Facility		$10.01	$24.60	$32.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $23.00 / $55.00	Professional		$16.00	$23.00	$55.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $32.17 / $32.17 / $32.17	Professional		$32.17	$32.17	$32.17
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $40.39 / $134.37	Professional		$28.91	$40.39	$134.37