Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $162.18 / $549.54	Facility		$120.23	$162.18	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $169.82 / $457.09	Professional		$91.20	$169.82	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $128.82 / $169.82	Professional		$109.65	$128.82	$169.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $123.03 / $138.04	Facility		$100.00	$123.03	$138.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $229.09	Professional		$100.00	$134.90	$229.09
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 $134.90 / $173.78 / $323.59	Professional		$134.90	$173.78	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $151.36 / $162.18	Facility		$100.00	$151.36	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $144.54 / $269.15	Professional		$97.72	$144.54	$269.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $117.49 / $154.88	Professional		$95.50	$117.49	$154.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $141.25 / $234.42	Professional		$85.11	$141.25	$234.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $851.14 / $851.14	Professional		$131.83	$851.14	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $190.55	Professional		$32.36	$33.11	$190.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $131.83 / $218.78	Facility		$85.11	$131.83	$218.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $151.36 / $288.40	Professional		$97.72	$151.36	$288.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $138.04 / $190.55	Professional		$87.10	$138.04	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $120.23 / $223.87	Professional		$81.28	$120.23	$223.87