Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.85 / $392.94 / $747.52	Facility		$156.85	$392.94	$747.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.62 / $149.76 / $480.00	Professional		$142.62	$149.76	$480.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $71.31 / $71.31	Professional		$71.31	$71.31	$71.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.72 / $486.00 / $876.00	Facility		$66.72	$486.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.12 / $66.51 / $123.53	Professional		$58.12	$66.51	$123.53
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 $44.25 / $63.22 / $158.08	Professional		$44.25	$63.22	$158.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.10 / $200.81 / $361.57	Facility		$94.10	$200.81	$361.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.41 / $166.23 / $456.31	Professional		$84.41	$166.23	$456.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $156.88 / $192.55	Professional		$142.63	$156.88	$192.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.37 / $164.02 / $323.23	Professional		$128.37	$164.02	$323.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $228.21 / $677.49 / $677.49	Facility		$228.21	$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
Molina Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $142.63 / $142.63	Professional		$142.63	$142.63	$142.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $132.58 / $171.16 / $340.64	Facility		$132.58	$171.16	$340.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.49 / $169.87 / $351.30	Professional		$90.49	$169.87	$351.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $114.10 / $145.47 / $242.47	Professional		$114.10	$145.47	$242.47
United Facility/Professional Professional Modifier Low / Median / High Price $94.52 / $103.05 / $532.51	Professional		$94.52	$103.05	$532.51