Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $107.15 / $316.23	Facility		$45.71	$107.15	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $45.71 / $117.49	Professional		$44.67	$45.71	$117.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $52.48 / $229.09	Facility		$47.86	$52.48	$229.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $45.71 / $85.11	Professional		$18.20	$45.71	$85.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $102.33 / $128.82	Facility		$33.11	$102.33	$128.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $2.34 / $5.37	Professional		$1.82	$2.34	$5.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $69.18 / $194.98	Facility		$37.15	$69.18	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $45.71 / $64.57	Professional		$26.92	$45.71	$64.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $72.44	Professional		$45.71	$45.71	$72.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $45.71 / $100.00	Professional		$36.31	$45.71	$100.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $102.33	Facility		$45.71	$45.71	$102.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $43.65 / $102.33	Professional		$26.92	$43.65	$102.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $45.71 / $77.62	Professional		$36.31	$45.71	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $45.71 / $45.71	Facility		$20.42	$45.71	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $31.62 / $75.86	Professional		$26.92	$31.62	$75.86