Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $64.57 / $75.86	Facility		$57.54	$64.57	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $61.66 / $83.18	Professional		$47.86	$61.66	$83.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $52.48 / $74.13	Professional		$39.81	$52.48	$74.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $83.18	Facility		$77.62	$77.62	$83.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $93.33 / $186.21	Professional		$60.26	$93.33	$186.21
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $64.57 / $128.82	Professional		$56.23	$64.57	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $81.28 / $173.78	Professional		$58.88	$81.28	$173.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $70.79	Professional		$60.26	$60.26	$70.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $64.57 / $89.13	Professional		$51.29	$64.57	$89.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $95.50	Professional		$56.23	$56.23	$95.50
Optum Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $66.07 / $91.20	Professional		$52.48	$66.07	$91.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $72.44 / $107.15	Facility		$53.70	$72.44	$107.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $83.18 / $165.96	Professional		$60.26	$83.18	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $57.54 / $77.62	Facility		$54.95	$57.54	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $67.61 / $134.90	Professional		$51.29	$67.61	$134.90