Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.57 / $122.25 / $19,431.07	Facility		$55.57	$122.25	$19,431.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $56.12 / $21,365.71	Professional		$55.57	$56.12	$21,365.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.67 / $85.84 / $88.36	Professional		$41.67	$85.84	$88.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.95 / $88.76 / $198.97	Facility		$58.95	$88.76	$198.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.67 / $56.73 / $115.90	Professional		$54.67	$56.73	$115.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.79 / $66.95 / $100.00	Facility		$57.79	$66.95	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $56.62 / $58.32 / $124.99	Professional		$56.62	$58.32	$124.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.42 / $52.42 / $55.57	Facility		$52.42	$52.42	$55.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $55.57 / $68.15	Professional		$55.57	$55.57	$68.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $51.39 / $57.45 / $69.37	Professional		$51.39	$57.45	$69.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.01 / $66.68 / $121.14	Professional		$50.01	$66.68	$121.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $264.95 / $277.85	Facility		$75.00	$264.95	$277.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $226.89 / $226.89 / $226.89	Professional		$226.89	$226.89	$226.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.34 / $105.34 / $105.34	Professional		$105.34	$105.34	$105.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.57 / $57.79 / $94.74	Facility		$55.57	$57.79	$94.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $55.57 / $68.15	Professional		$55.57	$55.57	$68.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $44.45 / $55.57 / $83.35	Professional		$44.45	$55.57	$83.35
United Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $55.57 / $106.98	Professional		$55.57	$55.57	$106.98