Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.10 / $42.21 / $49.65	Facility		$18.10	$42.21	$49.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $39.72 / $347.55	Professional		$17.07	$39.72	$347.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $36.45 / $63.82	Professional		$34.11	$36.45	$63.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.54 / $42.53 / $42.53	Facility		$39.54	$42.53	$42.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.77 / $43.40 / $125.74	Professional		$18.77	$43.40	$125.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $259.39 / $371.20 / $902.60	Facility		$259.39	$371.20	$902.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $34.76 / $48.55 / $79.50	Professional		$34.76	$48.55	$79.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $45.00 / $61.91	Professional		$28.00	$45.00	$61.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $39.01 / $57.14	Professional		$20.04	$39.01	$57.14
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 $15.33 / $30.94 / $56.87	Professional		$15.33	$30.94	$56.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.22 / $85.69 / $85.69	Facility		$80.22	$85.69	$85.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $131.76 / $139.88 / $303.89	Professional		$131.76	$139.88	$303.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.56 / $32.34 / $52.60	Professional		$31.56	$32.34	$52.60
Optum Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $48.71 / $80.84	Professional		$39.31	$48.71	$80.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.92 / $37.06 / $57.28	Facility		$17.92	$37.06	$57.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.58 / $45.00 / $62.00	Professional		$29.58	$45.00	$62.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $49.30 / $85.47	Professional		$39.31	$49.30	$85.47
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $17.36 / $21.22 / $50.83	Professional		$17.36	$21.22	$50.83
United Facility/Professional Facility Modifier Low / Median / High Price $43.26 / $43.26 / $43.26	Facility		$43.26	$43.26	$43.26
United Facility/Professional Professional Modifier Low / Median / High Price $35.44 / $48.43 / $142.84	Professional		$35.44	$48.43	$142.84