Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.79 / $110.15 / $181.38	Professional		$89.79	$110.15	$181.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $137.69 / $137.69 / $137.69	Professional		$137.69	$137.69	$137.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.44 / $16.00 / $359.89	Facility		$14.44	$16.00	$359.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.19 / $203.30 / $310.32	Professional		$154.19	$203.30	$310.32
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $347.04 / $347.04 / $347.04	Facility		$347.04	$347.04	$347.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $169.89 / $232.86	Professional		$100.00	$169.89	$232.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.98 / $123.98 / $232.86	Facility		$123.98	$123.98	$232.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.38 / $123.98 / $251.25	Professional		$105.38	$123.98	$251.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $168.60 / $168.60 / $202.32	Professional		$168.60	$168.60	$202.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $202.82 / $218.00 / $801.00	Professional		$202.82	$218.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $244.33 / $1,102.70 / $1,142.90	Facility		$244.33	$1,102.70	$1,142.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $123.98 / $275.55	Facility		$29.29	$123.98	$275.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.11 / $123.98 / $127.70	Professional		$93.11	$123.98	$127.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $168.60 / $168.60 / $168.60	Professional		$168.60	$168.60	$168.60
United Facility/Professional Professional Modifier Low / Median / High Price $97.01 / $108.62 / $195.46	Professional		$97.01	$108.62	$195.46