Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.30 / $75.86 / $258.20	Facility		$41.30	$75.86	$258.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.50 / $41.38 / $108.50	Professional		$35.50	$41.38	$108.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $37.50 / $37.50	Professional		$37.50	$37.50	$37.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.23 / $208.02 / $876.00	Facility		$6.23	$208.02	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $6.27 / $16.55	Professional		$5.92	$6.27	$16.55
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $26.55 / $60.30 / $100.00	Facility		$26.55	$60.30	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $8.22 / $24.75	Professional		$5.75	$8.22	$24.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.30 / $58.27 / $104.91	Facility		$27.30	$58.27	$104.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.40 / $48.04 / $131.87	Professional		$24.40	$48.04	$131.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $45.52 / $55.86	Professional		$41.38	$45.52	$55.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.24 / $47.59 / $93.78	Professional		$37.24	$47.59	$93.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $196.56 / $196.56	Facility		$72.00	$196.56	$196.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $206.07 / $206.07 / $310.35	Professional		$206.07	$206.07	$310.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.47 / $49.66 / $98.87	Facility		$38.47	$49.66	$98.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.15 / $49.09 / $101.52	Professional		$26.15	$49.09	$101.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.10 / $42.21 / $70.34	Professional		$33.10	$42.21	$70.34
United Facility/Professional Professional Modifier Low / Median / High Price $27.50 / $29.66 / $106.65	Professional		$27.50	$29.66	$106.65