Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.98 / $230.89 / $360.00	Facility		$41.98	$230.89	$360.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.09 / $26.76 / $111.03	Professional		$25.09	$26.76	$111.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $17.55 / $24.37	Professional		$9.47	$17.55	$24.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.61 / $82.77 / $312.00	Facility		$37.61	$82.77	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $28.47 / $94.31	Professional		$17.32	$28.47	$94.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.70 / $98.10 / $456.45	Facility		$58.70	$98.10	$456.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $21.75 / $31.07 / $100.00	Professional		$21.75	$31.07	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.19 / $46.25 / $117.47	Facility		$24.19	$46.25	$117.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.77 / $40.06 / $95.81	Professional		$18.77	$40.06	$95.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $23.05 / $35.09 / $56.14	Professional		$23.05	$35.09	$56.14
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $39.39 / $39.39 / $39.39	Professional		$39.39	$39.39	$39.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $38.60 / $76.50	Professional		$28.07	$38.60	$76.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $166.68 / $166.68	Facility		$80.00	$166.68	$166.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $194.24 / $194.24 / $263.18	Professional		$194.24	$194.24	$263.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $42.11	Professional		$21.05	$21.05	$42.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.55 / $41.98 / $83.42	Facility		$25.55	$41.98	$83.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $38.60 / $80.04	Professional		$23.42	$38.60	$80.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $123.16 / $123.16 / $123.16	Professional		$123.16	$123.16	$123.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $23.51 / $28.07 / $39.19	Professional		$23.51	$28.07	$39.19
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $79.04	Professional		$14.74	$21.05	$79.04