Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $158.49 / $524.81	Facility		$36.31	$158.49	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $67.61 / $138.04	Professional		$25.12	$67.61	$138.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $33.88 / $38.02	Facility		$27.54	$33.88	$38.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $85.11 / $144.54	Professional		$29.51	$85.11	$144.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $218.78 / $218.78	Facility		$91.20	$218.78	$218.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $75.86 / $144.54	Professional		$28.84	$75.86	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $229.09	Facility		$42.66	$42.66	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $77.62 / $147.91	Professional		$30.20	$77.62	$147.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $67.61 / $173.78	Professional		$26.30	$67.61	$173.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $104.71 / $186.21	Professional		$23.44	$104.71	$186.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $707.95 / $707.95	Professional		$467.74	$707.95	$707.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $61.66 / $158.49	Facility		$25.70	$61.66	$158.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $77.62 / $162.18	Professional		$30.20	$77.62	$162.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $67.61 / $162.18	Professional		$21.38	$67.61	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $60.26 / $123.03	Professional		$23.99	$60.26	$123.03