Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $123.03 / $138.04	Facility		$6.61	$123.03	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $27.54 / $95.50	Professional		$20.89	$27.54	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.05 / $34.67	Professional		$16.22	$19.05	$34.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.71 / $0.87 / $0.98	Facility		$0.71	$0.87	$0.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.81 / $25.12 / $47.86	Professional		$0.81	$25.12	$47.86
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.18 / $56.23	Professional		$21.88	$28.18	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.11 / $66.07	Professional		$23.99	$33.11	$66.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $29.51 / $38.02	Professional		$22.39	$29.51	$38.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.70 / $40.74	Professional		$19.05	$25.70	$40.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $32.36 / $34.67	Professional		$20.89	$32.36	$34.67
Optum Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $24.55 / $38.90	Professional		$19.95	$24.55	$38.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $30.20 / $47.86	Facility		$21.88	$30.20	$47.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $35.48 / $64.57	Professional		$24.55	$35.48	$64.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $89.13	Professional		$83.18	$83.18	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $26.92 / $48.98	Professional		$19.50	$26.92	$48.98