Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $95.50 / $245.47	Facility		$30.20	$95.50	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $123.03	Professional		$12.02	$15.14	$123.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Professional		$11.22	$11.22	$11.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $43.65 / $93.33	Facility		$8.71	$43.65	$93.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $10.00 / $30.90	Professional		$7.41	$10.00	$30.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $79.43 / $177.83	Facility		$35.48	$79.43	$177.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $45.71	Professional		$10.96	$15.14	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $30.20 / $66.07	Facility		$12.30	$30.20	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $16.22 / $28.18	Professional		$9.77	$16.22	$28.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $18.62 / $29.51	Professional		$14.79	$18.62	$29.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $18.62 / $40.74	Professional		$14.79	$18.62	$40.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $19.95 / $46.77	Facility		$13.18	$19.95	$46.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $14.45 / $37.15	Professional		$9.77	$14.45	$37.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $16.60 / $25.12	Professional		$14.79	$16.60	$25.12
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $10.23 / $18.62	Facility		$8.32	$10.23	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.47 / $33.11	Professional		$7.76	$10.47	$33.11