Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.97 / $324.89 / $877.20	Facility		$106.97	$324.89	$877.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $106.97 / $142.63	Professional		$92.71	$106.97	$142.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $71.31 / $128.37	Professional		$71.31	$71.31	$128.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.87 / $309.92 / $714.58	Facility		$152.87	$309.92	$714.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.05 / $63.89 / $213.94	Professional		$57.05	$63.89	$213.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $188.27 / $1,279.39	Facility		$59.40	$188.27	$1,279.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $64.90 / $92.71 / $231.82	Professional		$64.90	$92.71	$231.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.10 / $239.19 / $477.46	Facility		$94.10	$239.19	$477.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.52 / $126.79 / $599.36	Professional		$75.52	$126.79	$599.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $86.72 / $142.63 / $192.55	Professional		$86.72	$142.63	$192.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.37 / $168.30 / $313.79	Professional		$128.37	$168.30	$313.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $248.18 / $677.49 / $677.49	Facility		$248.18	$677.49	$677.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $710.30 / $710.30 / $1,069.73	Professional		$710.30	$710.30	$1,069.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.10 / $171.16 / $378.44	Facility		$114.10	$171.16	$378.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.19 / $164.50 / $398.57	Professional		$79.19	$164.50	$398.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $88.45 / $114.10 / $147.41	Professional		$88.45	$114.10	$147.41
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $59.90 / $283.38	Professional		$59.90	$59.90	$283.38