Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.12 / $45.39 / $53.40	Facility		$23.12	$45.39	$53.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.62 / $42.61 / $64.70	Professional		$21.62	$42.61	$64.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.37 / $40.56 / $51.00	Professional		$22.37	$40.56	$51.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.42 / $54.21 / $54.21	Facility		$50.42	$54.21	$54.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.20 / $49.89 / $136.13	Professional		$24.20	$49.89	$136.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $39.70 / $350.60 / $902.60	Facility		$39.70	$350.60	$902.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $37.31 / $52.38 / $84.80	Professional		$37.31	$52.38	$84.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $48.00 / $67.66	Professional		$32.00	$48.00	$67.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $26.57 / $41.88 / $63.75	Professional		$26.57	$41.88	$63.75
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $383.01 / $383.01 / $383.01	Professional		$383.01	$383.01	$383.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $36.47 / $63.66	Professional		$20.26	$36.47	$63.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $105.96 / $113.24 / $113.24	Facility		$105.96	$113.24	$113.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $188.10 / $346.50	Professional		$147.91	$188.10	$346.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $58.49	Professional		$32.34	$32.34	$58.49
Optum Facility/Professional Professional Modifier Low / Median / High Price $42.70 / $53.31 / $92.41	Professional		$42.70	$53.31	$92.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.12 / $41.62 / $62.48	Facility		$23.12	$41.62	$62.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $48.00 / $67.00	Professional		$33.00	$48.00	$67.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $42.70 / $53.88 / $96.90	Professional		$42.70	$53.88	$96.90
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $28.11 / $56.69	Professional		$23.00	$28.11	$56.69
United Facility/Professional Facility Modifier Low / Median / High Price $47.85 / $47.85 / $47.85	Facility		$47.85	$47.85	$47.85
United Facility/Professional Professional Modifier Low / Median / High Price $38.57 / $52.67 / $141.77	Professional		$38.57	$52.67	$141.77