Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $54.95 / $831.76	Facility		$28.18	$54.95	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $43.65 / $138.04	Professional		$25.70	$43.65	$138.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $28.84 / $28.84	Professional		$23.44	$28.84	$28.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $26.30 / $66.07	Facility		$20.89	$26.30	$66.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $51.29 / $123.03	Professional		$26.92	$51.29	$123.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $53.70 / $467.74	Facility		$19.05	$53.70	$467.74
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $39.81 / $91.20	Professional		$29.51	$39.81	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $37.15 / $77.62	Professional		$19.50	$37.15	$77.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $34.67 / $77.62	Professional		$25.70	$34.67	$77.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $53.70 / $97.72	Professional		$23.44	$53.70	$97.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $16.98 / $16.98 / $16.98	Facility	AS	$16.98	$16.98	$16.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $426.58 / $426.58	Professional		$316.23	$426.58	$426.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $70.79	Professional		$42.66	$42.66	$70.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $45.71 / $77.62	Facility		$24.55	$45.71	$77.62
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $4.37 / $4.37 / $4.37	Facility	AS	$4.37	$4.37	$4.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $37.15 / $85.11	Professional		$19.95	$37.15	$85.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $169.82	Professional		$91.20	$91.20	$169.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.84 / $72.44	Professional		$20.89	$28.84	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $660.69 / $1,023.29	Facility		$645.65	$660.69	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $38.02 / $64.57	Professional		$24.55	$38.02	$64.57