Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $52.48 / $63.10	Facility		$45.71	$52.48	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $74.13	Professional		$39.81	$50.12	$74.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $51.29 / $128.82	Facility		$40.74	$51.29	$128.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $60.26 / $128.82	Professional		$43.65	$60.26	$128.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $67.61 / $120.23	Professional		$52.48	$67.61	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $72.44 / $125.89	Professional		$53.70	$72.44	$125.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $56.23 / $87.10	Professional		$48.98	$56.23	$87.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $53.70 / $87.10	Professional		$38.02	$53.70	$87.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $56.23 / $83.18	Facility		$42.66	$56.23	$83.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $72.44 / $125.89	Professional		$53.70	$72.44	$125.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $67.61 / $89.13	Professional		$44.67	$67.61	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $64.57 / $134.90	Professional		$45.71	$64.57	$134.90