Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.43 / $179.00 / $187.75	Facility		$176.43	$179.00	$187.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.40 / $176.43 / $219.83	Professional		$159.40	$176.43	$219.83
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 / $161.71	Professional		$48.40	$65.14	$161.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $150.18 / $214.54 / $375.45	Professional		$150.18	$214.54	$375.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.05 / $45.05 / $45.05	Professional		$45.05	$45.05	$45.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $176.51 / $234.02 / $400.10	Professional		$176.51	$234.02	$400.10
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 $161.71 / $161.71 / $161.71	Professional		$161.71	$161.71	$161.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $166.40 / $206.81 / $298.61	Facility		$166.40	$206.81	$298.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.05 / $45.05 / $1,800,000.00	Professional		$45.05	$45.05	$1,800,000.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $161.71 / $161.71 / $161.71	Professional		$161.71	$161.71	$161.71
United Facility/Professional Professional Modifier Low / Median / High Price $161.71 / $161.71 / $161.71	Professional		$161.71	$161.71	$161.71