Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.93 / $78.45 / $224.70	Facility		$28.93	$78.45	$224.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.38 / $25.65 / $32.78	Professional		$13.38	$25.65	$32.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Professional		$12.88	$12.88	$12.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.26 / $93.03 / $312.00	Facility		$42.26	$93.03	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $16.20 / $40.11	Professional		$15.43	$16.20	$40.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $53.40 / $97.00 / $351.37	Facility		$53.40	$97.00	$351.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $25.07 / $62.69	Professional		$17.55	$25.07	$62.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.07 / $50.14 / $124.35	Facility		$25.07	$50.14	$124.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.62 / $44.19 / $58.85	Professional		$20.62	$44.19	$58.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $30.86 / $38.57 / $61.71	Professional		$30.86	$38.57	$61.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.86 / $38.57 / $84.08	Professional		$30.86	$38.57	$84.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $61.71 / $183.21 / $183.21	Facility		$61.71	$183.21	$183.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $38.57 / $91.92	Facility		$13.58	$38.57	$91.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $36.64 / $46.28	Professional		$21.60	$36.64	$46.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $30.86 / $34.56 / $43.20	Professional		$30.86	$34.56	$43.20
United Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.20 / $61.33	Professional		$16.20	$16.20	$61.33