Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $33.11 / $53.70	Facility		$28.84	$33.11	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $46.77 / $69.18	Professional		$28.84	$46.77	$69.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $43.65 / $69.18	Professional		$34.67	$43.65	$69.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $30.20 / $75.86	Facility		$23.99	$30.20	$75.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $46.77 / $100.00	Professional		$26.92	$46.77	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $52.48 / $95.50	Professional		$32.36	$52.48	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $54.95 / $104.71	Professional		$33.88	$54.95	$104.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $93.33	Professional		$69.18	$69.18	$93.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $42.66 / $70.79	Professional		$22.39	$42.66	$70.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $426.58 / $426.58	Professional		$309.03	$426.58	$426.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $45.71 / $72.44	Facility		$28.18	$45.71	$72.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $56.23 / $97.72	Professional		$33.88	$56.23	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $48.98 / $107.15	Professional		$28.18	$48.98	$107.15