Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.13 / $139.44 / $355.67	Facility		$44.13	$139.44	$355.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.94 / $41.30 / $71.43	Professional		$35.94	$41.30	$71.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.63 / $88.69 / $88.69	Professional		$42.63	$88.69	$88.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.45 / $204.63 / $876.00	Facility		$46.45	$204.63	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.70 / $50.95 / $104.56	Professional		$38.70	$50.95	$104.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $56.80 / $100.00 / $383.80	Facility		$56.80	$100.00	$383.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $47.48 / $105.79	Professional		$37.97	$47.48	$105.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.11 / $45.11 / $6,162.00	Facility		$45.11	$45.11	$6,162.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.49 / $54.57 / $108.06	Professional		$36.49	$54.57	$108.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $51.99 / $70.19	Professional		$37.36	$51.99	$70.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $51.60 / $91.68	Professional		$39.15	$51.60	$91.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $79.56 / $213.13 / $213.13	Facility		$79.56	$213.13	$213.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $258.05 / $258.05 / $338.10	Professional		$258.05	$258.05	$338.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $36.84	Professional		$32.34	$32.34	$36.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.06 / $52.82 / $81.62	Facility		$36.06	$52.82	$81.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $61.57 / $112.80	Professional		$38.97	$61.57	$112.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $42.04 / $52.30 / $63.51	Professional		$42.04	$52.30	$63.51
United Facility/Professional Facility Modifier Low / Median / High Price $46.32 / $46.32 / $46.32	Facility		$46.32	$46.32	$46.32
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $46.63 / $110.09	Professional		$31.62	$46.63	$110.09