Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.47 / $574.84 / $1,199.52	Facility		$157.47	$574.84	$1,199.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.46 / $157.47 / $248.39	Professional		$157.46	$157.47	$248.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.29 / $327.50 / $327.50	Professional		$162.29	$327.50	$327.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.15 / $134.15 / $245.89	Professional		$134.15	$134.15	$245.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $259.43 / $1,011.89	Facility		$92.60	$259.43	$1,011.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $137.03 / $295.23	Professional		$100.00	$137.03	$295.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.29 / $227.29 / $526.80	Facility		$227.29	$227.29	$526.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $156.72 / $156.72	Professional		$156.72	$156.72	$156.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $198.38 / $198.38 / $198.38	Professional		$198.38	$198.38	$198.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.34 / $218.22 / $516.00	Professional		$174.34	$218.22	$516.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $373.35 / $1,081.45 / $1,120.91	Facility		$373.35	$1,081.45	$1,120.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,176.10 / $1,176.10 / $1,728.30	Professional		$1,176.10	$1,176.10	$1,728.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $702.12	Professional		$60.00	$85.00	$702.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $157.47 / $231.04 / $314.42	Facility		$157.47	$231.04	$314.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $156.72 / $306.30	Professional		$156.72	$156.72	$306.30
United Facility/Professional Professional Modifier Low / Median / High Price $143.30 / $232.97 / $425.04	Professional		$143.30	$232.97	$425.04