Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $64.13 / $364.74	Facility		$51.31	$64.13	$364.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $71.83	Professional		$51.31	$51.31	$71.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.58 / $81.58 / $81.58	Professional		$81.58	$81.58	$81.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.04 / $257.06 / $876.00	Facility		$54.04	$257.06	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.52 / $51.31 / $95.94	Professional		$20.52	$51.31	$95.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $37.10 / $100.00 / $144.69	Facility		$37.10	$100.00	$144.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $31.81 / $45.44 / $113.62	Professional		$31.81	$45.44	$113.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.85 / $72.23 / $130.07	Facility		$33.85	$72.23	$130.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $51.31	Professional		$51.31	$51.31	$51.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $56.44 / $69.27	Professional		$51.31	$56.44	$69.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.18 / $59.01 / $113.00	Professional		$46.18	$59.01	$113.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.28 / $243.72 / $243.72	Facility		$89.28	$243.72	$243.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $255.52 / $255.52 / $384.83	Professional		$255.52	$255.52	$384.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.69 / $61.57 / $122.82	Facility		$47.69	$61.57	$122.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $56.44 / $76.97	Professional		$51.31	$56.44	$76.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $41.05 / $52.34 / $87.23	Professional		$41.05	$52.34	$87.23
United Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $23.18 / $123.55	Professional		$21.55	$23.18	$123.55