Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.24 / $55.88 / $162.80	Facility		$11.24	$55.88	$162.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $24.10 / $25.44	Professional		$18.34	$24.10	$25.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $16.76 / $16.76	Professional		$16.76	$16.76	$16.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.61 / $67.39 / $297.56	Facility		$30.61	$67.39	$297.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $11.73 / $29.06	Professional		$11.18	$11.73	$29.06
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $48.22 / $88.57 / $254.53	Facility		$48.22	$88.57	$254.53
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.71 / $18.16 / $45.41	Professional		$12.71	$18.16	$45.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.16 / $36.68 / $90.07	Facility		$18.16	$36.68	$90.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $31.80 / $42.34	Professional		$14.86	$31.80	$42.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $27.94 / $44.70	Professional		$22.35	$27.94	$44.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $27.94 / $61.47	Professional		$22.35	$27.94	$61.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.67 / $132.72 / $132.72	Facility		$50.67	$132.72	$132.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.16 / $27.94 / $66.43	Facility		$18.16	$27.94	$66.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $26.54 / $33.53	Professional		$15.65	$26.54	$33.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $25.03 / $31.29	Professional		$22.35	$25.03	$31.29
United Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $11.73 / $40.97	Professional		$11.73	$11.73	$40.97