Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $707.95 / $2,511.89	Facility		$181.97	$707.95	$2,511.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $489.78	Professional		$109.65	$154.88	$489.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $295.12	Professional		$97.72	$97.72	$295.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $169.82 / $812.83	Facility		$151.36	$169.82	$812.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $158.49 / $323.59	Professional		$81.28	$158.49	$323.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $229.09 / $758.58	Facility		$69.18	$229.09	$758.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $109.65 / $229.09	Professional		$77.62	$109.65	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $407.38 / $741.31	Facility		$109.65	$407.38	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $186.21 / $389.05	Professional		$114.82	$186.21	$389.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $114.82 / $154.88	Professional		$42.66	$114.82	$154.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $112.20 / $257.04	Professional		$85.11	$112.20	$257.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,047.13 / $1,047.13	Professional		$851.14	$1,047.13	$1,047.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $134.90 / $295.12	Facility		$87.10	$134.90	$295.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $186.21 / $380.19	Professional		$102.33	$186.21	$380.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $93.33 / $109.65	Professional		$63.10	$93.33	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $165.96 / $257.04	Facility		$162.18	$165.96	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $177.83 / $371.54	Professional		$89.13	$177.83	$371.54