Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.09 / $38.00 / $68.20	Facility		$33.09	$38.00	$68.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.37 / $47.34 / $80.25	Professional		$31.37	$47.34	$80.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.50 / $66.50 / $66.50	Professional		$66.50	$66.50	$66.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.08 / $49.55 / $49.55	Facility		$46.08	$49.55	$49.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.01 / $59.20 / $114.06	Professional		$37.01	$59.20	$114.06
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $173.11 / $173.11	Facility		$120.23	$173.11	$173.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $36.95 / $57.06 / $94.21	Professional		$36.95	$57.06	$94.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.99 / $49.99 / $69.51	Professional		$49.99	$49.99	$69.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $42.82 / $67.61 / $87.89	Professional		$42.82	$67.61	$87.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.89 / $50.28 / $79.44	Professional		$33.89	$50.28	$79.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $190.65 / $190.65 / $190.65	Facility		$190.65	$190.65	$190.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $308.33 / $461.10	Professional		$240.00	$308.33	$461.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $55.80	Professional		$32.34	$32.34	$55.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.09 / $51.19 / $74.40	Facility		$33.09	$51.19	$74.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.99 / $60.93 / $141.59	Professional		$49.99	$60.93	$141.59
United Facility/Professional Professional Modifier Low / Median / High Price $53.20 / $75.43 / $232.05	Professional		$53.20	$75.43	$232.05