Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $177.83 / $446.68	Facility		$54.95	$177.83	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $54.95 / $229.09	Professional		$28.84	$54.95	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $38.90 / $56.23	Professional		$17.38	$38.90	$56.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $81.28 / $177.83	Facility		$22.91	$81.28	$177.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $51.29 / $104.71	Professional		$27.54	$51.29	$104.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $100.00 / $467.74	Facility		$56.23	$100.00	$467.74
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.90 / $100.00	Professional		$28.18	$38.90	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $61.66 / $147.91	Facility		$26.92	$61.66	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $32.36 / $109.65	Professional		$22.91	$32.36	$109.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $35.48 / $47.86	Professional		$30.20	$35.48	$47.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $38.90 / $61.66	Professional		$31.62	$38.90	$61.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $213.80	Facility		$165.96	$165.96	$213.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $426.58 / $426.58	Professional		$165.96	$426.58	$426.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $56.23 / $107.15	Facility		$31.62	$56.23	$107.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $38.90 / $100.00	Professional		$22.91	$38.90	$100.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.90 / $457.09	Professional		$28.18	$38.90	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $35.48 / $35.48	Facility		$14.79	$35.48	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.89 / $70.79	Professional		$14.79	$20.89	$70.79