Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $194.98 / $691.83	Facility		$162.18	$194.98	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $223.87 / $741.31	Professional		$151.36	$223.87	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $251.19 / $346.74	Professional		$194.98	$251.19	$346.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $177.83 / $199.53	Facility		$144.54	$177.83	$199.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $251.19 / $398.11	Professional		$158.49	$251.19	$398.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $91.20	Facility		$83.18	$83.18	$91.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $275.42 / $588.84	Professional		$45.71	$275.42	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $257.04 / $436.52	Professional		$190.55	$257.04	$436.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $102.33 / $151.36	Professional		$81.28	$102.33	$151.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $630.96 / $933.25	Professional		$125.89	$630.96	$933.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility		$1,148.15	$1,148.15	$1,148.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $1,348.96 / $1,348.96	Professional		$269.15	$1,348.96	$1,348.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $138.04 / $302.00	Professional		$32.36	$138.04	$302.00
Optum Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $234.42 / $331.13	Professional		$169.82	$234.42	$331.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $251.19 / $371.54	Facility		$173.78	$251.19	$371.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $269.15 / $489.78	Professional		$190.55	$269.15	$489.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $165.96 / $229.09	Professional		$102.33	$165.96	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $208.93 / $251.19	Facility		$125.89	$208.93	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $218.78 / $389.05	Professional		$154.88	$218.78	$389.05