Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $38.90 / $234.42	Facility		$34.67	$38.90	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $36.31 / $53.70	Professional		$34.67	$36.31	$53.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $23.44 / $181.97	Facility		$20.89	$23.44	$181.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $37.15	Professional		$19.95	$19.95	$37.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $81.28 / $102.33	Facility		$25.70	$81.28	$102.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $42.66 / $100.00	Professional		$32.36	$42.66	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $51.29 / $120.23	Facility		$24.55	$51.29	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $39.81 / $48.98	Professional		$36.31	$39.81	$48.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $39.81 / $64.57	Professional		$32.36	$39.81	$64.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $269.15 / $269.15	Professional		$177.83	$269.15	$269.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $42.66 / $89.13	Facility		$36.31	$42.66	$89.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $39.81 / $53.70	Professional		$36.31	$39.81	$53.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $36.31 / $61.66	Professional		$28.84	$36.31	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $36.31 / $36.31	Facility		$15.14	$36.31	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $69.18	Professional		$15.14	$15.14	$69.18