Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.14 / $281.00 / $286.20	Facility		$274.14	$281.00	$286.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.11 / $274.14 / $325.26	Professional		$256.11	$274.14	$325.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $289.52 / $289.52 / $289.52	Professional		$289.52	$289.52	$289.52
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 / $258.47	Professional		$48.40	$65.14	$258.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $207.11 / $295.87 / $517.77	Professional		$207.11	$295.87	$517.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.70 / $22.70 / $22.70	Professional		$22.70	$22.70	$22.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $238.40 / $309.55 / $535.62	Professional		$238.40	$309.55	$535.62
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 $258.47 / $258.47 / $258.47	Professional		$258.47	$258.47	$258.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $264.14 / $308.39 / $412.73	Facility		$264.14	$308.39	$412.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.70 / $22.70 / $1,800,000.00	Professional		$22.70	$22.70	$1,800,000.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $258.47 / $258.47 / $258.47	Professional		$258.47	$258.47	$258.47
United Facility/Professional Professional Modifier Low / Median / High Price $258.47 / $258.47 / $258.47	Professional		$258.47	$258.47	$258.47