Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $131.83 / $190.55	Facility		$38.02	$131.83	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $29.51 / $104.71	Professional		$22.91	$29.51	$104.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $24.55 / $41.69	Professional		$20.89	$24.55	$41.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $31.62 / $31.62	Facility		$27.54	$31.62	$31.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $40.74 / $81.28	Professional		$28.18	$40.74	$81.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $43.65 / $91.20	Professional		$30.90	$43.65	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.88 / $74.13	Professional		$26.30	$33.88	$74.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $29.51 / $39.81	Professional		$21.38	$29.51	$39.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $26.92 / $47.86	Professional		$23.44	$26.92	$47.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $204.17 / $204.17	Professional		$158.49	$204.17	$204.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $33.11 / $51.29	Facility		$23.99	$33.11	$51.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $35.48 / $70.79	Professional		$26.92	$35.48	$70.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $28.18 / $36.31	Professional		$21.38	$28.18	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.84 / $57.54	Professional		$20.89	$28.84	$57.54