Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $331.13 / $831.76	Facility		$117.49	$331.13	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $120.23 / $338.84	Professional		$93.33	$120.23	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $128.82 / $229.09	Professional		$70.79	$128.82	$229.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $331.13 / $707.95	Facility		$66.07	$331.13	$707.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $87.10 / $275.42	Professional		$57.54	$87.10	$275.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $331.13 / $1,380.38	Facility		$69.18	$331.13	$1,380.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $109.65 / $281.84	Professional		$83.18	$109.65	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $245.47 / $501.19	Facility		$93.33	$245.47	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $97.72 / $338.84	Professional		$75.86	$97.72	$338.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $141.25 / $190.55	Professional		$87.10	$141.25	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $251.19	Professional		$128.82	$158.49	$251.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,071.52 / $1,071.52	Professional		$707.95	$1,071.52	$1,071.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $169.82 / $371.54	Facility		$109.65	$169.82	$371.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $151.36 / $302.00	Professional		$75.86	$151.36	$302.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $147.91	Professional		$87.10	$114.82	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $141.25 / $141.25	Facility		$60.26	$141.25	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $275.42	Professional		$60.26	$60.26	$275.42