Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $177.83 / $257.04	Facility		$51.29	$177.83	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $36.31 / $147.91	Professional		$28.18	$36.31	$147.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $32.36 / $69.18	Professional		$26.30	$32.36	$69.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $41.69	Facility		$36.31	$40.74	$41.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $53.70 / $95.50	Professional		$35.48	$53.70	$95.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $40.74 / $87.10	Professional		$29.51	$40.74	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $44.67 / $93.33	Professional		$33.88	$44.67	$93.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $37.15 / $45.71	Professional		$31.62	$37.15	$45.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $31.62 / $70.79	Professional		$26.92	$31.62	$70.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $38.90 / $64.57	Facility		$28.84	$38.90	$64.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $46.77 / $83.18	Professional		$34.67	$46.77	$83.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $38.02 / $53.70	Professional		$27.54	$38.02	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $37.15 / $72.44	Professional		$25.12	$37.15	$72.44