Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.93 / $324.41 / $817.28	Facility		$84.93	$324.41	$817.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.93 / $123.14 / $572.79	Professional		$84.93	$123.14	$572.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $200.00 / $375.00	Professional		$92.00	$200.00	$375.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.28 / $94.65 / $122.79	Facility		$78.28	$94.65	$122.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.27 / $95.67 / $174.98	Professional		$85.27	$95.67	$174.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $87.50 / $102.00 / $122.00	Facility		$87.50	$102.00	$122.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.69 / $306.39	Professional		$100.00	$125.69	$306.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.98 / $86.98 / $86.98	Facility		$86.98	$86.98	$86.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $86.98 / $86.98	Professional		$86.98	$86.98	$86.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $96.84 / $96.84 / $116.21	Professional		$96.84	$96.84	$116.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $125.00 / $393.93	Professional		$89.00	$125.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $166.07 / $717.30 / $717.30	Facility		$166.07	$717.30	$717.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $717.30 / $717.30 / $717.30	Professional		$717.30	$717.30	$717.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $231.75	Professional		$85.00	$85.00	$231.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.98 / $102.33 / $121.65	Facility		$86.98	$102.33	$121.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $86.98 / $97.21	Professional		$86.98	$86.98	$97.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $96.84 / $106.52 / $164.63	Professional		$96.84	$106.52	$164.63
United Facility/Professional Professional Modifier Low / Median / High Price $85.27 / $85.27 / $168.32	Professional		$85.27	$85.27	$168.32