Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $257.04 / $489.78	Facility		$81.28	$257.04	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $91.20 / $346.74	Professional		$57.54	$91.20	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $87.10 / $97.72	Professional		$83.18	$87.10	$97.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $95.50 / $239.88	Facility		$77.62	$95.50	$239.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $104.71 / $245.47	Professional		$75.86	$104.71	$245.47
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $194.98 / $257.04	Facility		$97.72	$194.98	$257.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $75.86 / $190.55	Professional		$57.54	$75.86	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $85.11 / $316.23	Facility		$72.44	$85.11	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $87.10 / $151.36	Professional		$63.10	$87.10	$151.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $104.71 / $162.18	Professional		$70.79	$104.71	$162.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $190.55	Professional		$87.10	$109.65	$190.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $630.96 / $630.96	Facility		$134.90	$630.96	$630.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $134.90 / $831.76	Professional		$112.20	$134.90	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $141.25 / $724.44	Professional		$70.79	$141.25	$724.44
Optum Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $39.81	Professional		$30.90	$30.90	$39.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $107.15 / $162.18	Facility		$60.26	$107.15	$162.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $87.10 / $186.21	Professional		$58.88	$87.10	$186.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $87.10 / $181.97	Professional		$69.18	$87.10	$181.97