Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.16 / $230.00 / $235.22	Facility		$223.16	$230.00	$235.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.08 / $223.16 / $273.64	Professional		$206.08	$223.16	$273.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $236.29 / $250.00 / $262.54	Professional		$236.29	$250.00	$262.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.73 / $55.62 / $55.62	Facility		$51.73	$55.62	$55.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.40 / $65.14 / $207.49	Professional		$48.40	$65.14	$207.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $188.22 / $268.89 / $470.56	Professional		$188.22	$268.89	$470.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $65.81 / $65.81	Professional		$65.81	$65.81	$65.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.17 / $285.26 / $491.29	Professional		$218.17	$285.26	$491.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $100.00 / $100.00	Facility		$65.00	$100.00	$100.00
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 $207.49 / $207.49 / $207.49	Professional		$207.49	$207.49	$207.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.17 / $258.99 / $372.49	Facility		$213.17	$258.99	$372.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $65.81 / $1,800,000.00	Professional		$65.81	$65.81	$1,800,000.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $207.49 / $207.49 / $207.49	Professional		$207.49	$207.49	$207.49
United Facility/Professional Professional Modifier Low / Median / High Price $207.49 / $207.49 / $207.49	Professional		$207.49	$207.49	$207.49