Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $134.90 / $199.53	Facility		$42.66	$134.90	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $38.02 / $112.20	Professional		$23.99	$38.02	$112.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $32.36 / $64.57	Professional		$23.44	$32.36	$64.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $42.66 / $42.66	Facility		$37.15	$42.66	$42.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $48.98 / $85.11	Professional		$35.48	$48.98	$85.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $33.11 / $74.13	Professional		$24.55	$33.11	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $36.31 / $74.13	Professional		$28.18	$36.31	$74.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.18 / $38.90	Professional		$22.91	$28.18	$38.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.30 / $67.61	Professional		$22.91	$26.30	$67.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $199.53 / $199.53	Professional		$165.96	$199.53	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $31.62 / $47.86	Facility		$23.44	$31.62	$47.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $37.15 / $72.44	Professional		$28.18	$37.15	$72.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $31.62 / $41.69	Professional		$22.91	$31.62	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $30.90 / $60.26	Professional		$21.88	$30.90	$60.26