Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.93 / $120.60 / $365.83	Facility		$72.93	$120.60	$365.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.84 / $143.11 / $432.35	Professional		$78.84	$143.11	$432.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.75 / $129.00 / $261.61	Professional		$108.75	$129.00	$261.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.63 / $102.85 / $116.05	Facility		$88.63	$102.85	$116.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $131.13 / $231.78	Professional		$90.40	$131.13	$231.78
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 $100.00 / $143.63 / $322.48	Professional		$100.00	$143.63	$322.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.00 / $124.66 / $148.83	Facility		$93.00	$124.66	$148.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.83 / $135.43 / $273.32	Professional		$88.83	$135.43	$273.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $109.90 / $109.90 / $131.88	Professional		$109.90	$109.90	$131.88
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $119.68 / $217.15 / $482.00	Professional		$119.68	$217.15	$482.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.95 / $148.74 / $254.61	Professional		$93.95	$148.74	$254.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $395.13 / $455.57 / $455.57	Facility		$395.13	$455.57	$455.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $592.04 / $785.23 / $785.23	Professional		$592.04	$785.23	$785.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $175.60	Professional		$60.00	$85.00	$175.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.58 / $123.79 / $187.25	Facility		$79.58	$123.79	$187.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.52 / $152.04 / $299.68	Professional		$92.52	$152.04	$299.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $83.34 / $114.60 / $163.61	Professional		$83.34	$114.60	$163.61
United Facility/Professional Facility Modifier Low / Median / High Price $142.03 / $142.03 / $142.03	Facility		$142.03	$142.03	$142.03
United Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $126.00 / $302.20	Professional		$89.75	$126.00	$302.20