Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.42 / $13.96 / $45.91	Facility		$10.42	$13.96	$45.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $14.75 / $45.91	Professional		$11.18	$14.75	$45.91
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $19.30 / $50.00 / $60.36	Professional	25	$19.30	$50.00	$60.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $14.03 / $32.54	Professional		$12.08	$14.03	$32.54
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $12.08 / $14.46 / $71.95	Professional	25	$12.08	$14.46	$71.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.98 / $15.06 / $17.00	Facility		$12.98	$15.06	$17.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.98 / $17.05 / $33.26	Professional		$12.98	$17.05	$33.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $33.65 / $47.71 / $79.91	Facility		$33.65	$47.71	$79.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $12.42 / $31.22	Professional		$8.77	$12.42	$31.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.71 / $15.71 / $17.89	Facility		$15.71	$15.71	$17.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.86 / $16.71 / $33.92	Professional		$11.86	$16.71	$33.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.41 / $14.16 / $19.85	Professional		$10.41	$14.16	$19.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.58 / $15.70 / $26.43	Professional		$11.58	$15.70	$26.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $57.05 / $57.05 / $80.00	Facility		$57.05	$57.05	$80.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $199.96 / $199.96 / $199.96	Professional		$199.96	$199.96	$199.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.97 / $32.34 / $32.34	Professional		$20.97	$32.34	$32.34
Optum Facility/Professional Professional Modifier Low / Median / High Price $13.59 / $13.59 / $13.59	Professional		$13.59	$13.59	$13.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.51 / $15.61 / $23.52	Facility		$11.51	$15.61	$23.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $18.23 / $36.21	Professional		$12.22	$18.23	$36.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $32.03 / $32.03 / $39.78	Professional		$32.03	$32.03	$39.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $14.29 / $18.37	Professional		$10.39	$14.29	$18.37
United Facility/Professional Facility Modifier Low / Median / High Price $16.84 / $16.84 / $16.84	Facility		$16.84	$16.84	$16.84
United Facility/Professional Professional Modifier Low / Median / High Price $10.99 / $15.05 / $36.18	Professional		$10.99	$15.05	$36.18