Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.22 / $81.03 / $274.74	Facility		$44.22	$81.03	$274.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.05 / $96.93 / $336.54	Professional		$49.05	$96.93	$336.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $125.22 / $503.53	Professional		$65.56	$125.22	$503.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.87 / $68.31 / $77.08	Facility		$58.87	$68.31	$77.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.82 / $94.31 / $169.68	Professional		$61.82	$94.31	$169.68
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 $83.63 / $110.00 / $219.39	Professional		$83.63	$110.00	$219.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $88.85 / $88.85	Facility		$88.85	$88.85	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.23 / $101.96 / $212.13	Professional		$62.23	$101.96	$212.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $34.69 / $34.69 / $41.63	Professional		$34.69	$34.69	$41.63
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $165.00 / $165.00	Professional		$165.00	$165.00	$165.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.28 / $112.14 / $200.72	Professional		$67.28	$112.14	$200.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $299.75 / $325.80 / $325.80	Facility		$299.75	$325.80	$325.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $425.70 / $618.82 / $618.82	Professional		$425.70	$618.82	$618.82
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 $53.21 / $90.66 / $147.59	Facility		$53.21	$90.66	$147.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.73 / $118.07 / $234.19	Professional		$64.73	$118.07	$234.19
United Facility/Professional Facility Modifier Low / Median / High Price $112.55 / $112.55 / $112.55	Facility		$112.55	$112.55	$112.55
United Facility/Professional Professional Modifier Low / Median / High Price $68.31 / $96.22 / $225.06	Professional		$68.31	$96.22	$225.06