Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.35 / $61.14 / $301.14	Facility		$37.35	$61.14	$301.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $48.97 / $103.83	Professional		$36.79	$48.97	$103.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.53 / $38.53 / $75.08	Professional		$38.53	$38.53	$75.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.09 / $293.00 / $876.00	Facility		$37.09	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.45 / $54.18 / $105.49	Professional		$37.45	$54.18	$105.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $56.80 / $100.00 / $296.67	Facility		$56.80	$100.00	$296.67
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $54.99 / $114.41	Professional		$37.40	$54.99	$114.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.73 / $137.58 / $364.04	Facility		$117.73	$137.58	$364.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.16 / $60.93 / $123.79	Professional		$41.16	$60.93	$123.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $33.72 / $46.79 / $69.23	Professional		$33.72	$46.79	$69.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.63 / $49.85 / $89.17	Professional		$37.63	$49.85	$89.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $174.10 / $188.10 / $188.10	Facility		$174.10	$188.10	$188.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $392.55 / $477.31	Professional		$302.00	$392.55	$477.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $68.65	Professional		$32.34	$32.34	$68.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.27 / $54.69 / $86.29	Facility		$38.27	$54.69	$86.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.71 / $69.30 / $123.79	Professional		$42.71	$69.30	$123.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $132.29 / $132.29 / $164.75	Professional		$132.29	$132.29	$164.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $50.36 / $87.06	Professional		$34.36	$50.36	$87.06
United Facility/Professional Facility Modifier Low / Median / High Price $55.13 / $55.13 / $55.13	Facility		$55.13	$55.13	$55.13
United Facility/Professional Professional Modifier Low / Median / High Price $40.32 / $56.57 / $140.13	Professional		$40.32	$56.57	$140.13