Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $35.64 / $60.12	Professional		$28.91	$35.64	$60.12
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $52.50 / $53.55 / $243.27	Professional	50	$52.50	$53.55	$243.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $30.71 / $41.38	Professional		$18.96	$30.71	$41.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.93 / $32.93 / $32.93	Facility		$32.93	$32.93	$32.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.94 / $37.63 / $81.39	Professional		$28.94	$37.63	$81.39
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $43.30 / $53.28 / $63.66	Professional	50	$43.30	$53.28	$63.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $50.04 / $60.77 / $136.13	Facility		$50.04	$60.77	$136.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $27.12 / $38.45 / $68.29	Professional		$27.12	$38.45	$68.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $44.57 / $90.24	Professional		$31.11	$44.57	$90.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $42.41 / $50.89	Professional		$32.04	$42.41	$50.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.70 / $40.08 / $73.41	Professional		$26.70	$40.08	$73.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $143.82 / $158.51 / $158.51	Facility		$143.82	$158.51	$158.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $200.98 / $229.17 / $292.95	Professional		$200.98	$229.17	$292.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.65 / $43.54 / $57.68	Facility		$32.65	$43.54	$57.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.93 / $45.62 / $91.41	Professional		$31.93	$45.62	$91.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $108.83 / $108.83 / $123.25	Professional		$108.83	$108.83	$123.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $40.51 / $47.15	Professional		$33.15	$40.51	$47.15
United Facility/Professional Professional Modifier Low / Median / High Price $27.56 / $35.31 / $67.29	Professional		$27.56	$35.31	$67.29