Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $41.69 / $50.12	Facility		$18.20	$41.69	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $42.66 / $776.25	Professional		$18.20	$42.66	$776.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $34.67 / $46.77	Professional		$16.98	$34.67	$46.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $42.66	Facility		$39.81	$39.81	$42.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $63.10 / $144.54	Professional		$20.42	$63.10	$144.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $52.48 / $91.20	Professional		$37.15	$52.48	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $44.67 / $60.26	Professional		$26.92	$44.67	$60.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $38.90 / $64.57	Professional		$18.20	$38.90	$64.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $30.90 / $51.29	Professional		$15.14	$30.90	$51.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $302.00 / $302.00	Professional		$251.19	$302.00	$302.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $52.48 / $52.48	Professional		$31.62	$52.48	$52.48
Optum Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $50.12 / $75.86	Professional		$38.90	$50.12	$75.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $38.02 / $61.66	Facility		$17.38	$38.02	$61.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $44.67 / $61.66	Professional		$27.54	$44.67	$61.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $144.54	Professional		$63.10	$63.10	$144.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $38.90 / $58.88	Professional		$14.79	$38.90	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $48.98	Facility		$41.69	$41.69	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $39.81 / $77.62	Professional		$16.98	$39.81	$77.62