Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.98 / $232.15 / $325.16	Professional		$227.98	$232.15	$325.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $415.02 / $415.02 / $415.02	Professional		$415.02	$415.02	$415.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.51 / $19.39 / $19.39	Facility		$17.51	$19.39	$19.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.67 / $288.00 / $565.59	Professional		$194.67	$288.00	$565.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $88.10 / $88.10 / $88.10	Facility		$88.10	$88.10	$88.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $257.31 / $431.32 / $431.32	Professional		$257.31	$431.32	$431.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.40 / $193.40 / $247.81	Facility		$193.40	$193.40	$247.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.39 / $193.40 / $326.25	Professional		$164.39	$193.40	$326.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $639.24 / $639.24 / $767.09	Professional		$639.24	$639.24	$767.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $404.00 / $404.00 / $801.00	Professional		$404.00	$404.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $514.54 / $1,288.56 / $1,335.56	Facility		$514.54	$1,288.56	$1,335.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.22 / $232.15 / $326.66	Facility		$27.22	$232.15	$326.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.39 / $193.40 / $242.55	Professional		$164.39	$193.40	$242.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $639.24 / $639.24 / $639.24	Professional		$639.24	$639.24	$639.24
United Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $30.46 / $249.35	Professional		$17.10	$30.46	$249.35