Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.48 / $65.72 / $143.59	Facility		$14.48	$65.72	$143.59
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $7.24 / $26.33 / $59.34	Facility	52	$7.24	$26.33	$59.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.06 / $19.62 / $71.00	Professional		$14.06	$19.62	$71.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.92 / $18.00 / $32.10	Professional		$11.92	$18.00	$32.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $293.00 / $876.00	Facility		$19.14	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.34 / $28.60 / $54.97	Professional		$15.34	$28.60	$54.97
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $14.93 / $36.86 / $55.40	Facility		$14.93	$36.86	$55.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $18.22 / $45.23	Professional		$12.75	$18.22	$45.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $19,568.00 / $22,828.00	Facility		$15.85	$19,568.00	$22,828.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $12.23 / $12.23 / $12.23	Facility	52	$12.23	$12.23	$12.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.37 / $20.01 / $48.84	Professional		$15.37	$20.01	$48.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $15.75 / $18.84 / $28.26	Professional		$15.75	$18.84	$28.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.62 / $15.42 / $38.79	Professional		$12.62	$15.42	$38.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $33.28 / $80.77 / $133.44	Facility		$33.28	$80.77	$133.44
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $16.67 / $26.62 / $55.41	Facility	52	$16.67	$26.62	$55.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $250.96 / $250.96 / $250.96	Professional		$250.96	$250.96	$250.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.77 / $32.34 / $32.34	Professional		$19.77	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.42 / $17.69 / $46.79	Facility		$13.42	$17.69	$46.79
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $12.23 / $12.23 / $12.23	Facility	52	$12.23	$12.23	$12.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.44 / $20.74 / $39.57	Professional		$15.44	$20.74	$39.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $48.42 / $48.42 / $48.42	Professional		$48.42	$48.42	$48.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.33 / $33.86 / $54.41	Professional		$14.33	$33.86	$54.41
United Facility/Professional Facility Modifier Low / Median / High Price $64.80 / $64.80 / $64.80	Facility		$64.80	$64.80	$64.80
United Facility/Professional Professional Modifier Low / Median / High Price $11.60 / $16.54 / $36.04	Professional		$11.60	$16.54	$36.04