Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $40.21 / $221.31	Facility		$36.00	$40.21	$221.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.46 / $39.99 / $153.13	Professional		$34.46	$39.99	$153.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.53 / $74.53 / $74.53	Professional		$74.53	$74.53	$74.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.95 / $38.63 / $101.73	Facility		$31.95	$38.63	$101.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.97 / $47.21 / $87.59	Professional		$33.97	$47.21	$87.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $46.40 / $87.00 / $170.44	Facility		$46.40	$87.00	$170.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $33.45 / $42.66 / $101.92	Professional		$33.45	$42.66	$101.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.38 / $41.38 / $41.38	Facility		$41.38	$41.38	$41.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $48.45 / $100.22	Professional		$38.61	$48.45	$100.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $33.72 / $41.17 / $55.58	Professional		$33.72	$41.17	$55.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.46 / $43.03 / $77.40	Professional		$33.46	$43.03	$77.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $84.31 / $180.26 / $180.26	Facility		$84.31	$180.26	$180.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $227.75 / $227.75 / $295.64	Professional		$227.75	$227.75	$295.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $51.89	Professional		$32.34	$32.34	$51.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.69 / $46.16 / $69.58	Facility		$35.69	$46.16	$69.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.94 / $52.98 / $101.32	Professional		$38.94	$52.98	$101.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $123.49 / $123.49 / $123.49	Professional		$123.49	$123.49	$123.49
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.27 / $45.75 / $57.34	Professional		$33.27	$45.75	$57.34
United Facility/Professional Facility Modifier Low / Median / High Price $41.35 / $41.35 / $41.35	Facility		$41.35	$41.35	$41.35
United Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $42.20 / $95.35	Professional		$30.52	$42.20	$95.35