Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.22 / $39.70 / $46.12	Facility		$34.22	$39.70	$46.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.43 / $38.49 / $83.22	Professional		$29.43	$38.49	$83.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.79 / $34.00 / $39.00	Professional		$31.79	$34.00	$39.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.97 / $92.44 / $92.44	Facility		$85.97	$92.44	$92.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.16 / $68.25 / $142.10	Professional		$30.16	$68.25	$142.10
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 $31.95 / $43.70 / $71.44	Professional		$31.95	$43.70	$71.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $39.00 / $59.00	Professional		$29.00	$39.00	$59.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $35.69 / $47.42 / $64.02	Professional		$35.69	$47.42	$64.02
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 $30.00 / $40.36 / $70.25	Professional		$30.00	$40.36	$70.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $66.39 / $157.44 / $190.00	Facility		$66.39	$157.44	$190.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $225.09 / $225.09 / $295.35	Professional		$225.09	$225.09	$295.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $47.40	Professional		$32.34	$32.34	$47.40
Optum Facility/Professional Professional Modifier Low / Median / High Price $35.04 / $42.87 / $70.80	Professional		$35.04	$42.87	$70.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.97 / $45.64 / $58.56	Facility		$35.97	$45.64	$58.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $59.00	Professional		$30.00	$40.00	$59.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $35.04 / $43.06 / $75.06	Professional		$35.04	$43.06	$75.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $43.16 / $52.75	Professional		$38.36	$43.16	$52.75
United Facility/Professional Facility Modifier Low / Median / High Price $40.58 / $40.58 / $40.58	Facility		$40.58	$40.58	$40.58
United Facility/Professional Professional Modifier Low / Median / High Price $31.32 / $42.87 / $111.08	Professional		$31.32	$42.87	$111.08