Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.64 / $39.69 / $232.32	Facility		$35.64	$39.69	$232.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.99 / $39.69 / $148.54	Professional		$31.99	$39.69	$148.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.07 / $30.07 / $52.23	Professional		$30.07	$30.07	$52.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.06 / $1.23 / $1.39	Facility		$1.06	$1.23	$1.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $1.80 / $85.83	Professional		$1.11	$1.80	$85.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $36.64 / $90.07	Professional		$25.85	$36.64	$90.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.43 / $52.43 / $52.43	Facility		$52.43	$52.43	$52.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $48.01 / $106.36	Professional		$34.72	$48.01	$106.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $30.09 / $38.15 / $47.70	Professional		$30.09	$38.15	$47.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $39.43 / $70.84	Professional		$30.78	$39.43	$70.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $143.82 / $155.22 / $379.22	Facility		$143.82	$155.22	$379.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $514.16 / $514.16 / $514.16	Professional		$514.16	$514.16	$514.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Optum Facility/Professional Professional Modifier Low / Median / High Price $27.36 / $32.33 / $38.24	Professional		$27.36	$32.33	$38.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.25 / $41.86 / $58.50	Facility		$32.25	$41.86	$58.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $56.86 / $97.11	Professional		$37.40	$56.86	$97.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $27.50 / $35.51 / $129.94	Professional		$27.50	$35.51	$129.94
United Facility/Professional Facility Modifier Low / Median / High Price $37.90 / $37.90 / $37.90	Facility		$37.90	$37.90	$37.90
United Facility/Professional Professional Modifier Low / Median / High Price $29.65 / $39.95 / $95.48	Professional		$29.65	$39.95	$95.48