Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.38 / $22.00 / $45.49	Professional		$14.38	$22.00	$45.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $23.47	Professional		$20.00	$20.00	$23.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.48 / $18.48 / $45.02	Professional		$6.48	$18.48	$45.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.67 / $22.38 / $26.63	Professional		$15.67	$22.38	$26.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $44.48 / $101.63	Professional		$19.38	$44.48	$101.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $29.77 / $78.68	Professional		$21.99	$29.77	$78.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $101.42 / $109.87 / $109.87	Facility		$101.42	$109.87	$109.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $165.54 / $210.08	Professional		$34.72	$165.54	$210.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.62 / $26.78 / $35.11	Facility		$19.62	$26.78	$35.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.20 / $39.64 / $98.30	Professional		$22.20	$39.64	$98.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $27.00	Professional		$27.00	$27.00	$27.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $23.70 / $59.65	Professional		$18.73	$23.70	$59.65