Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.45 / $74.00 / $294.89	Facility		$65.45	$74.00	$294.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.28 / $174.30 / $988.49	Professional		$23.28	$174.30	$988.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $11.03 / $11.03	Professional		$11.03	$11.03	$11.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $55.06 / $108.84	Professional		$26.31	$55.06	$108.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $34.78 / $47.97 / $110.32	Professional		$34.78	$47.97	$110.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.53 / $52.53 / $52.53	Facility		$52.53	$52.53	$52.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.63 / $29.69 / $118.54	Professional		$14.63	$29.69	$118.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $20.68 / $31.21 / $42.13	Professional		$20.68	$31.21	$42.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.63 / $28.37 / $49.00	Professional		$23.63	$28.37	$49.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $49.45 / $151.16 / $151.16	Facility		$49.45	$151.16	$151.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $288.00 / $475.63 / $494.66	Professional		$288.00	$475.63	$494.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.04 / $26.04 / $26.04	Professional		$26.04	$26.04	$26.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.84 / $32.83 / $68.40	Facility		$25.84	$32.83	$68.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.25 / $43.52 / $92.82	Professional		$17.25	$43.52	$92.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $84.66 / $84.66 / $84.66	Professional		$84.66	$84.66	$84.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $25.25 / $34.72	Professional		$25.25	$25.25	$34.72
United Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $24.78 / $67.97	Professional		$13.43	$24.78	$67.97