Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.17 / $161.66 / $335.53	Professional		$126.17	$161.66	$335.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $250.85 / $250.85 / $250.85	Professional		$250.85	$250.85	$250.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.42 / $24.84 / $24.84	Facility		$22.42	$24.84	$24.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.20 / $329.40 / $570.05	Professional		$224.20	$329.40	$570.05
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $529.74 / $529.74 / $529.74	Facility		$529.74	$529.74	$529.74
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.52 / $209.52 / $306.20	Facility		$209.52	$209.52	$306.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.09 / $209.52 / $517.50	Professional		$178.09	$209.52	$517.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $320.26 / $320.26 / $384.31	Professional		$320.26	$320.26	$384.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $304.25 / $309.58 / $801.00	Professional		$304.25	$309.58	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $314.94 / $2,008.95 / $2,082.21	Facility		$314.94	$2,008.95	$2,082.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.50 / $276.97 / $447.70	Facility		$122.50	$276.97	$447.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $178.09 / $209.52 / $284.45	Professional		$178.09	$209.52	$284.45
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $320.26 / $320.26 / $320.26	Professional		$320.26	$320.26	$320.26
United Facility/Professional Professional Modifier Low / Median / High Price $148.63 / $189.90 / $305.47	Professional		$148.63	$189.90	$305.47