Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $123.03 / $245.47	Facility		$33.88	$123.03	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.20 / $97.72	Professional		$19.95	$30.20	$97.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.12 / $46.77	Professional		$18.20	$25.12	$46.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $33.11 / $33.11	Facility		$28.84	$33.11	$33.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $44.67 / $77.62	Professional		$30.20	$44.67	$77.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $53.70 / $83.18	Facility		$21.38	$53.70	$83.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.11 / $69.18	Professional		$23.99	$33.11	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $19,498.45 / $22,908.68	Facility		$33.88	$19,498.45	$22,908.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $29.51 / $64.57	Professional		$22.91	$29.51	$64.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.84 / $37.15	Professional		$23.99	$28.84	$37.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.39 / $56.23	Professional		$19.05	$22.39	$56.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Optum Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $39.81	Professional		$30.90	$30.90	$39.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $28.84 / $57.54	Facility		$20.89	$28.84	$57.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.90 / $61.66	Professional		$23.44	$30.90	$61.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $42.66 / $66.07	Professional		$21.88	$42.66	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $25.12 / $48.98	Professional		$17.78	$25.12	$48.98