Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.10 / $176.34 / $441.42	Facility		$55.10	$176.34	$441.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.10 / $55.10 / $124.80	Professional		$53.10	$55.10	$124.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $94.50 / $94.50	Professional		$8.23	$94.50	$94.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.78 / $62.01 / $81.36	Facility		$50.78	$62.01	$81.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.50 / $113.51	Professional		$56.42	$56.50	$113.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $138.06 / $336.55	Professional		$100.00	$138.06	$336.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.42 / $56.42 / $56.42	Facility		$56.42	$56.42	$56.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $56.42	Professional		$56.42	$56.42	$56.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $45.36 / $45.36 / $54.43	Professional		$45.36	$45.36	$54.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $109.00 / $275.00	Professional		$72.00	$109.00	$275.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $92.20 / $132.76 / $248.93	Facility		$92.20	$132.76	$248.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $252.24 / $252.24 / $298.70	Professional		$252.24	$252.24	$298.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $86.92	Professional		$85.00	$85.00	$86.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.10 / $66.38 / $78.92	Facility		$55.10	$66.38	$78.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $63.06	Professional		$56.42	$56.42	$63.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $45.36 / $49.90 / $77.11	Professional		$45.36	$49.90	$77.11
United Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $56.50 / $116.45	Professional		$56.50	$56.50	$116.45