Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.75 / $107.86 / $457.88	Facility		$64.75	$107.86	$457.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.93 / $114.69 / $390.00	Professional		$64.93	$114.69	$390.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.53 / $116.00 / $221.95	Professional		$98.53	$116.00	$221.95
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 / $118.84 / $206.17	Professional		$79.92	$118.84	$206.17
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 $98.25 / $131.57 / $295.08	Professional		$98.25	$131.57	$295.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.81 / $110.81 / $110.81	Facility		$110.81	$110.81	$110.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.25 / $122.45 / $249.65	Professional		$79.25	$122.45	$249.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $54.83 / $54.83 / $65.80	Professional		$54.83	$54.83	$65.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.72 / $135.62 / $239.00	Professional		$83.72	$135.62	$239.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $358.68 / $405.70 / $405.70	Facility		$358.68	$405.70	$405.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $526.12 / $717.08 / $717.08	Professional		$526.12	$717.08	$717.08
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 $68.34 / $111.03 / $171.30	Facility		$68.34	$111.03	$171.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.83 / $138.52 / $276.35	Professional		$82.83	$138.52	$276.35
United Facility/Professional Facility Modifier Low / Median / High Price $130.55 / $130.55 / $130.55	Facility		$130.55	$130.55	$130.55
United Facility/Professional Professional Modifier Low / Median / High Price $81.81 / $113.51 / $276.08	Professional		$81.81	$113.51	$276.08