Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $81.28 / $234.42	Professional		$43.65	$81.28	$234.42
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $72.44 / $87.10 / $173.78	Professional	25	$72.44	$87.10	$173.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $79.43 / $169.82	Professional		$69.18	$79.43	$169.82
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $72.44 / $91.20 / $104.71	Professional	25	$72.44	$91.20	$104.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $83.18 / $229.09	Professional		$44.67	$83.18	$229.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $67.61 / $154.88	Professional		$40.74	$67.61	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $75.86 / $158.49	Professional		$43.65	$75.86	$158.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $52.48 / $131.83	Professional		$37.15	$52.48	$131.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $75.86 / $141.25	Professional		$35.48	$75.86	$141.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $549.54 / $691.83	Professional		$89.13	$549.54	$691.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $117.49	Professional		$70.79	$70.79	$117.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $70.79 / $131.83	Facility		$42.66	$70.79	$131.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $81.28 / $169.82	Professional		$46.77	$81.28	$169.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $281.84	Professional		$154.88	$154.88	$281.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $47.86 / $123.03	Professional		$39.81	$47.86	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $58.88 / $112.20	Professional		$35.48	$58.88	$112.20