Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.35 / $136.94 / $649.94	Facility		$98.35	$136.94	$649.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.45 / $145.50 / $566.08	Professional		$98.45	$145.50	$566.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $132.08 / $138.86 / $173.57	Professional		$132.08	$138.86	$173.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.45 / $138.61 / $156.41	Facility		$119.45	$138.61	$156.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.83 / $175.54 / $301.92	Professional		$121.83	$175.54	$301.92
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 $127.51 / $188.63 / $429.60	Professional		$127.51	$188.63	$429.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $163.28 / $163.28	Facility		$100.00	$163.28	$163.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.68 / $180.02 / $359.98	Professional		$117.68	$180.02	$359.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $114.40 / $143.00 / $213.13	Professional		$114.40	$143.00	$213.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.16 / $192.18 / $332.00	Professional		$123.16	$192.18	$332.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $533.73 / $596.98 / $596.98	Facility		$533.73	$596.98	$596.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $778.92 / $1,021.95 / $1,021.95	Professional		$778.92	$1,021.95	$1,021.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $229.09	Professional		$60.00	$85.00	$229.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.29 / $163.38 / $248.21	Facility		$101.29	$163.38	$248.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $122.30 / $199.58 / $392.14	Professional		$122.30	$199.58	$392.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $109.30 / $150.28 / $213.59	Professional		$109.30	$150.28	$213.59
United Facility/Professional Facility Modifier Low / Median / High Price $185.29 / $185.29 / $185.29	Facility		$185.29	$185.29	$185.29
United Facility/Professional Professional Modifier Low / Median / High Price $119.44 / $163.89 / $393.38	Professional		$119.44	$163.89	$393.38