Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.92 / $67.61	Professional		$19.95	$26.92	$67.61
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $52.48 / $52.48 / $52.48	Professional	50	$52.48	$52.48	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $23.99 / $58.88	Professional		$19.50	$23.99	$58.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.20 / $79.43	Professional		$20.89	$30.20	$79.43
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $24.55 / $38.02 / $48.98	Professional	50	$24.55	$38.02	$48.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $31.62 / $75.86	Professional		$22.91	$31.62	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $29.51 / $56.23	Professional		$19.95	$29.51	$56.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.30 / $36.31	Professional		$21.88	$26.30	$36.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $26.30 / $42.66	Professional		$15.49	$26.30	$42.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $204.17 / $204.17	Professional		$30.90	$204.17	$204.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $34.67	Professional		$20.89	$20.89	$34.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $27.54 / $42.66	Facility		$19.50	$27.54	$42.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $30.90 / $58.88	Professional		$20.42	$30.90	$58.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $83.18	Professional		$75.86	$75.86	$83.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $23.44 / $33.88	Professional		$19.50	$23.44	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $21.88 / $40.74	Professional		$17.38	$21.88	$40.74