Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.65 / $94.30 / $291.75	Facility		$56.65	$94.30	$291.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.81 / $107.44 / $370.71	Professional		$58.81	$107.44	$370.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.77 / $100.99 / $203.95	Professional		$89.77	$100.99	$203.95
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 $70.09 / $104.90 / $188.69	Professional		$70.09	$104.90	$188.69
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 $89.39 / $119.16 / $267.51	Professional		$89.39	$119.16	$267.51
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 $70.29 / $110.53 / $228.24	Professional		$70.29	$110.53	$228.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $43.85 / $43.85 / $52.62	Professional		$43.85	$43.85	$52.62
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $157.08 / $157.08 / $157.08	Professional		$157.08	$157.08	$157.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.68 / $122.00 / $216.51	Professional		$73.68	$122.00	$216.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $327.73 / $356.87 / $356.87	Facility		$327.73	$356.87	$356.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $464.35 / $655.29 / $655.29	Professional		$464.35	$655.29	$655.29
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 $60.57 / $99.53 / $156.76	Facility		$60.57	$99.53	$156.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $126.49 / $251.87	Professional		$73.48	$126.49	$251.87
United Facility/Professional Facility Modifier Low / Median / High Price $119.44 / $119.44 / $119.44	Facility		$119.44	$119.44	$119.44
United Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $103.86 / $263.39	Professional		$75.00	$103.86	$263.39