Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.55 / $135.78 / $385.43	Facility		$81.55	$135.78	$385.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.78 / $140.74 / $465.10	Professional		$81.78	$140.74	$465.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.95 / $129.69 / $225.95	Professional		$114.95	$129.69	$225.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.33 / $115.26 / $130.06	Facility		$99.33	$115.26	$130.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.32 / $145.63 / $251.33	Professional		$100.32	$145.63	$251.33
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 $104.94 / $151.19 / $322.99	Professional		$104.94	$151.19	$322.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $130.94 / $160.63	Facility		$95.00	$130.94	$160.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.45 / $146.51 / $295.33	Professional		$97.45	$146.51	$295.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $94.72 / $118.40 / $176.46	Professional		$94.72	$118.40	$176.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.79 / $159.47 / $271.30	Professional		$98.79	$159.47	$271.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $442.03 / $478.90 / $478.90	Facility		$442.03	$478.90	$478.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $623.77 / $845.09 / $845.09	Professional		$623.77	$845.09	$845.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $188.54	Professional		$60.00	$85.00	$188.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.65 / $132.00 / $201.40	Facility		$85.65	$132.00	$201.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.10 / $164.02 / $323.29	Professional		$101.10	$164.02	$323.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $87.68 / $120.56 / $177.23	Professional		$87.68	$120.56	$177.23
United Facility/Professional Facility Modifier Low / Median / High Price $152.75 / $152.75 / $152.75	Facility		$152.75	$152.75	$152.75
United Facility/Professional Professional Modifier Low / Median / High Price $98.50 / $134.85 / $325.33	Professional		$98.50	$134.85	$325.33