Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.75 / $99.37 / $459.08	Facility		$64.75	$99.37	$459.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.75 / $104.19 / $395.58	Professional		$64.75	$104.19	$395.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.25 / $99.35 / $123.36	Professional		$71.25	$99.35	$123.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.36 / $90.93 / $102.60	Facility		$78.36	$90.93	$102.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.92 / $122.61 / $212.79	Professional		$79.92	$122.61	$212.79
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 $100.00 / $132.00 / $297.29	Professional		$100.00	$132.00	$297.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.52 / $104.52 / $104.52	Facility		$104.52	$104.52	$104.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $125.09 / $250.47	Professional		$76.70	$125.09	$250.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $47.13 / $47.13 / $56.56	Professional		$47.13	$47.13	$56.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.88 / $130.15 / $231.62	Professional		$78.88	$130.15	$231.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $352.73 / $382.33 / $382.33	Facility		$352.73	$382.33	$382.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $496.07 / $715.23 / $715.23	Professional		$496.07	$715.23	$715.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $180.42	Professional		$60.00	$85.00	$180.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.67 / $109.41 / $176.92	Facility		$66.67	$109.41	$176.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $138.63 / $276.55	Professional		$80.04	$138.63	$276.55
United Facility/Professional Facility Modifier Low / Median / High Price $130.93 / $130.93 / $130.93	Facility		$130.93	$130.93	$130.93
United Facility/Professional Professional Modifier Low / Median / High Price $85.28 / $115.17 / $275.63	Professional		$85.28	$115.17	$275.63