Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $93.99 / $290.70	Facility		$51.31	$93.99	$290.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $58.40 / $97.59	Professional		$51.31	$58.40	$97.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.66 / $81.58 / $81.58	Professional		$25.66	$81.58	$81.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.04 / $257.06 / $876.00	Facility		$54.04	$257.06	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.30 / $53.87 / $98.62	Professional		$51.30	$53.87	$98.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.42 / $100.00 / $144.69	Facility		$63.42	$100.00	$144.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $31.81 / $45.44 / $113.62	Professional		$31.81	$45.44	$113.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.02 / $83.38 / $133.40	Facility		$44.02	$83.38	$133.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.40 / $60.00 / $171.80	Professional		$30.40	$60.00	$171.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $56.44 / $69.27	Professional		$51.31	$56.44	$69.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.18 / $59.01 / $116.28	Professional		$46.18	$59.01	$116.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $82.10 / $243.72 / $243.72	Facility		$82.10	$243.72	$243.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $255.52 / $255.52 / $384.83	Professional		$255.52	$255.52	$384.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $61.57 / $122.82	Facility		$51.31	$61.57	$122.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.18 / $61.57 / $126.50	Professional		$32.18	$61.57	$126.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $41.05 / $52.34 / $87.23	Professional		$41.05	$52.34	$87.23
United Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $30.79 / $123.55	Professional		$30.79	$30.79	$123.55