Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.65 / $93.99 / $197.65	Facility		$27.65	$93.99	$197.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.81 / $34.83 / $113.02	Professional		$23.81	$34.83	$113.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.05 / $35.79 / $65.97	Professional		$22.05	$35.79	$65.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.04 / $293.00 / $876.00	Facility		$37.04	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.96 / $44.14 / $84.03	Professional		$26.96	$44.14	$84.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $19.29 / $27.55 / $67.16	Professional		$19.29	$27.55	$67.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.00 / $29.00 / $29.00	Facility		$29.00	$29.00	$29.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.08 / $36.00 / $80.92	Professional		$28.08	$36.00	$80.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $27.91 / $37.68	Professional		$23.17	$27.91	$37.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.48 / $27.48 / $67.00	Professional		$22.48	$27.48	$67.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $59.71 / $99.41 / $123.22	Facility		$59.71	$99.41	$123.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $166.47 / $166.47 / $201.08	Professional		$166.47	$166.47	$201.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $36.19	Professional		$32.34	$32.34	$36.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.35 / $30.59 / $40.47	Facility		$23.35	$30.59	$40.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.38 / $38.40 / $70.08	Professional		$28.38	$38.40	$70.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.56 / $30.11 / $39.38	Professional		$22.56	$30.11	$39.38
United Facility/Professional Professional Modifier Low / Median / High Price $22.12 / $30.77 / $70.37	Professional		$22.12	$30.77	$70.37