Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.78 / $3,532.00 / $15,234.00	Facility		$166.78	$3,532.00	$15,234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.57 / $96.28 / $352.00	Professional		$47.57	$96.28	$352.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.81 / $130.81 / $251.26	Professional		$130.81	$130.81	$251.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.92 / $73.02 / $4,604.00	Facility		$57.92	$73.02	$4,604.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.95 / $101.83 / $223.55	Professional		$61.95	$101.83	$223.55
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $1,643.40	Facility		$64.20	$100.00	$1,643.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $57.18 / $81.69 / $178.40	Professional		$57.18	$81.69	$178.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.64 / $92.01 / $231.02	Professional		$53.64	$92.01	$231.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $134.58 / $168.22 / $201.86	Professional		$134.58	$168.22	$201.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.11 / $121.69 / $215.67	Professional		$58.11	$121.69	$215.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $228.57 / $245.67	Facility		$55.00	$228.57	$245.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $460.00 / $784.48 / $906.45	Professional		$460.00	$784.48	$906.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $95.47 / $165.01	Facility		$58.90	$95.47	$165.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.28 / $98.32 / $241.20	Professional		$56.28	$98.32	$241.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $61.45 / $150.29 / $242.24	Professional		$61.45	$150.29	$242.24
United Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $1,506.00 / $7,317.00	Facility		$510.00	$1,506.00	$7,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $109.20 / $301.87	Professional		$65.00	$109.20	$301.87