Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.16 / $255.53 / $437.08	Professional		$179.16	$255.53	$437.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $382.79 / $382.79 / $382.79	Professional		$382.79	$382.79	$382.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.30 / $32.47 / $32.47	Facility		$29.30	$32.47	$32.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $324.74 / $412.85 / $560.90	Professional		$324.74	$412.85	$560.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $692.49 / $692.49 / $692.49	Facility		$692.49	$692.49	$692.49
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 $279.36 / $279.36 / $400.51	Facility		$279.36	$279.36	$400.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.46 / $279.36 / $648.75	Professional		$237.46	$279.36	$648.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $485.71 / $485.71 / $582.85	Professional		$485.71	$485.71	$582.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $404.70 / $461.42 / $801.00	Professional		$404.70	$461.42	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $486.63 / $3,065.64 / $3,177.42	Facility		$486.63	$3,065.64	$3,177.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $185.78 / $368.33 / $592.45	Facility		$185.78	$368.33	$592.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $237.46 / $279.36 / $375.12	Professional		$237.46	$279.36	$375.12
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $485.71 / $485.71 / $485.71	Professional		$485.71	$485.71	$485.71
United Facility/Professional Professional Modifier Low / Median / High Price $225.70 / $278.39 / $476.99	Professional		$225.70	$278.39	$476.99