Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.21 / $25.14 / $109.22	Facility		$23.21	$25.14	$109.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.62 / $25.14 / $64.52	Professional		$21.62	$25.14	$64.52
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $25.11 / $94.80 / $102.65	Professional	25	$25.11	$94.80	$102.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $25.70 / $51.80	Professional		$22.99	$25.70	$51.80
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $22.50 / $28.56 / $136.09	Professional	25	$22.50	$28.56	$136.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.75 / $31.04 / $35.03	Facility		$26.75	$31.04	$35.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.17 / $33.69 / $62.68	Professional		$26.17	$33.69	$62.68
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 $16.73 / $23.71 / $60.05	Professional		$16.73	$23.71	$60.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.15 / $33.15 / $33.35	Facility		$33.15	$33.15	$33.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.85 / $32.61 / $66.39	Professional		$23.85	$32.61	$66.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $19.93 / $30.09 / $38.29	Professional		$19.93	$30.09	$38.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.38 / $31.46 / $52.69	Professional		$24.38	$31.46	$52.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $112.04 / $238.94 / $238.94	Facility		$112.04	$238.94	$238.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $342.78 / $342.78 / $342.78	Professional		$342.78	$342.78	$342.78
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 $26.50 / $26.50 / $26.50	Professional		$26.50	$26.50	$26.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.91 / $32.42 / $44.98	Facility		$23.91	$32.42	$44.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.73 / $35.88 / $68.27	Professional		$24.73	$35.88	$68.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $67.42 / $67.42 / $75.17	Professional		$67.42	$67.42	$75.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $30.38 / $34.46	Professional		$22.10	$30.38	$34.46
United Facility/Professional Facility Modifier Low / Median / High Price $31.39 / $31.39 / $31.39	Facility		$31.39	$31.39	$31.39
United Facility/Professional Professional Modifier Low / Median / High Price $21.06 / $28.70 / $67.22	Professional		$21.06	$28.70	$67.22