Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.53 / $32.53 / $273.25	Facility		$32.53	$32.53	$273.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.35 / $32.53 / $55.89	Professional		$31.35	$32.53	$55.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Professional		$80.00	$80.00	$80.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.98 / $36.25 / $47.03	Facility		$29.98	$36.25	$47.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $34.97 / $65.06	Professional		$32.65	$34.97	$65.06
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 $29.91 / $33.22 / $83.54	Professional		$29.91	$33.22	$83.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.31 / $33.31 / $33.31	Facility		$33.31	$33.31	$33.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.31 / $33.31 / $33.31	Professional		$33.31	$33.31	$33.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $26.58 / $26.58 / $31.90	Professional		$26.58	$26.58	$31.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $154.00 / $389.00	Professional		$101.00	$154.00	$389.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $170.02 / $216.18 / $216.18	Facility		$170.02	$216.18	$216.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $354.51 / $354.51 / $354.51	Professional		$354.51	$354.51	$354.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.31 / $74.31 / $85.00	Professional		$74.31	$74.31	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.31 / $39.19 / $48.40	Facility		$33.31	$39.19	$48.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.31 / $33.31 / $37.22	Professional		$33.31	$33.31	$37.22
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $26.58 / $29.24 / $45.19	Professional		$26.58	$29.24	$45.19
United Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $32.65 / $65.56	Professional		$32.65	$32.65	$65.56