Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $386.63 / $968.56	Facility		$165.00	$386.63	$968.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.21 / $300.22 / $317.60	Professional		$158.21	$300.22	$317.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $373.07 / $373.07 / $373.07	Professional		$373.07	$373.07	$373.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $357.00 / $1,294.00 / $1,610.00	Facility		$357.00	$1,294.00	$1,610.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $150.00	Professional		$60.00	$60.00	$150.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $294.06 / $546.40	Facility		$92.60	$294.06	$546.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $68.45 / $82.06 / $174.13	Professional		$68.45	$82.06	$174.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.32 / $230.32 / $230.32	Facility		$230.32	$230.32	$230.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.76 / $116.76 / $116.76	Professional		$116.76	$116.76	$116.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $185.15 / $185.15 / $222.18	Professional		$185.15	$185.15	$222.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $203.67 / $638.07 / $801.00	Professional		$203.67	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $290.02	Facility		$100.00	$100.00	$290.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $329.53 / $329.53 / $329.53	Professional		$329.53	$329.53	$329.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $197.09 / $304.30 / $336.66	Facility		$197.09	$304.30	$336.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.76 / $116.76 / $224.89	Professional		$116.76	$116.76	$224.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $185.15 / $203.67 / $314.76	Professional		$185.15	$203.67	$314.76
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $128.47 / $194.93	Professional		$45.00	$128.47	$194.93