Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $151.36 / $478.63	Facility		$70.79	$151.36	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $144.54 / $407.38	Professional		$79.43	$144.54	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $165.96	Professional		$91.20	$114.82	$165.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $97.72 / $107.15	Facility		$77.62	$97.72	$107.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $112.20 / $190.55	Professional		$79.43	$112.20	$190.55
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $91.20	Facility		$83.18	$83.18	$91.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $151.36 / $288.40	Professional		$117.49	$151.36	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $131.83 / $141.25	Facility		$95.50	$131.83	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $123.03 / $234.42	Professional		$81.28	$123.03	$234.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $123.03	Professional		$102.33	$102.33	$123.03
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $457.09 / $707.95	Professional		$204.17	$457.09	$707.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $125.89 / $208.93	Professional		$75.86	$125.89	$208.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $724.44 / $724.44	Professional		$102.33	$724.44	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $60.26 / $165.96	Professional		$32.36	$60.26	$165.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $114.82 / $190.55	Facility		$72.44	$114.82	$190.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $128.82 / $251.19	Professional		$81.28	$128.82	$251.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $102.33 / $165.96	Professional		$67.61	$102.33	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $102.33 / $194.98	Professional		$69.18	$102.33	$194.98