Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $199.53 / $426.58	Facility		$69.18	$199.53	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $56.23 / $125.89	Professional		$52.48	$56.23	$125.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $95.50 / $251.19	Professional		$8.51	$95.50	$251.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $66.07 / $131.83	Facility		$58.88	$66.07	$131.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $60.26 / $107.15	Professional		$56.23	$60.26	$107.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $181.97 / $371.54	Professional		$131.83	$181.97	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $63.10 / $69.18	Professional		$45.71	$63.10	$69.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $134.90 / $275.42	Professional		$83.18	$134.90	$275.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $66.07 / $112.20	Facility		$56.23	$66.07	$112.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $58.88 / $77.62	Professional		$45.71	$58.88	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $114.82	Professional		$56.23	$56.23	$114.82