Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.65 / $91.99 / $439.47	Facility		$56.65	$91.99	$439.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.80 / $109.33 / $387.82	Professional		$56.80	$109.33	$387.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.30 / $118.00 / $251.12	Professional		$100.30	$118.00	$251.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.73 / $79.75 / $90.00	Facility		$68.73	$79.75	$90.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.13 / $112.44 / $196.51	Professional		$70.13	$112.44	$196.51
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $88.30 / $115.00 / $139.00	Facility		$88.30	$115.00	$139.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $94.61 / $124.08 / $277.00	Professional		$94.61	$124.08	$277.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.37 / $97.37 / $97.37	Facility		$97.37	$97.37	$97.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.65 / $116.31 / $239.01	Professional		$69.65	$116.31	$239.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $45.33 / $45.33 / $54.40	Professional		$45.33	$45.33	$54.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.68 / $123.15 / $221.50	Professional		$73.68	$123.15	$221.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $328.49 / $356.87 / $356.87	Facility		$328.49	$356.87	$356.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $464.35 / $685.73 / $685.73	Professional		$464.35	$685.73	$685.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $479.00	Professional		$60.00	$85.00	$479.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.06 / $102.30 / $166.45	Facility		$61.06	$102.30	$166.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.41 / $132.18 / $264.38	Professional		$72.41	$132.18	$264.38
United Facility/Professional Facility Modifier Low / Median / High Price $125.19 / $125.19 / $125.19	Facility		$125.19	$125.19	$125.19
United Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $109.55 / $275.63	Professional		$80.59	$109.55	$275.63