Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.63 / $450.75 / $898.30	Facility		$20.63	$450.75	$898.30
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $5.65 / $20.23 / $131.25	Facility	52	$5.65	$20.23	$131.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.30 / $40.47 / $184.00	Professional		$11.30	$40.47	$184.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $5.53 / $18.19 / $34.04	Professional	52	$5.53	$18.19	$34.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.81 / $34.95 / $88.89	Professional		$10.81	$34.95	$88.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.41 / $293.00 / $876.00	Facility		$16.41	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $58.17 / $110.31	Professional		$16.57	$58.17	$110.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.44 / $39.01 / $89.82	Professional		$12.44	$39.01	$89.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.09 / $19.09 / $19.09	Facility		$19.09	$19.09	$19.09
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $15.27 / $15.27 / $15.27	Facility	52	$15.27	$15.27	$15.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $41.23 / $91.97	Professional		$12.95	$41.23	$91.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $12.87 / $36.69 / $63.22	Professional		$12.87	$36.69	$63.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.63 / $33.90 / $69.00	Professional		$11.63	$33.90	$69.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $52.98 / $57.05 / $57.05	Facility		$52.98	$57.05	$57.05
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $42.38 / $45.64 / $45.64	Facility	52	$42.38	$45.64	$45.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $74.08 / $243.34 / $304.80	Professional		$74.08	$243.34	$304.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.51 / $32.34 / $32.34	Professional		$30.51	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.56 / $31.19 / $64.94	Facility		$12.56	$31.19	$64.94
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $15.27 / $15.27 / $15.27	Facility	52	$15.27	$15.27	$15.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $42.42 / $99.10	Professional		$13.60	$42.42	$99.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $133.52	Professional		$38.54	$38.54	$133.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $37.86 / $52.07	Professional		$10.39	$37.86	$52.07
United Facility/Professional Professional Modifier Low / Median / High Price $31.64 / $45.55 / $103.66	Professional		$31.64	$45.55	$103.66