Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.75 / $30.16 / $50.88	Facility		$22.75	$30.16	$50.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.88 / $68.58 / $416.00	Professional		$24.88	$68.58	$416.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.42 / $50.92 / $76.52	Professional		$26.42	$50.92	$76.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.13 / $28.00 / $31.60	Facility		$24.13	$28.00	$31.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.29 / $31.16 / $65.70	Professional		$24.29	$31.16	$65.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $25.36 / $35.39 / $90.54	Professional		$25.36	$35.39	$90.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.92 / $39.92 / $39.92	Facility		$39.92	$39.92	$39.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.42 / $42.44 / $76.04	Professional		$31.42	$42.44	$76.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $22.70 / $28.38 / $34.06	Professional		$22.70	$28.38	$34.06
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $61.42 / $61.42 / $94.69	Professional		$61.42	$61.42	$94.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.75 / $41.33 / $74.00	Professional		$29.75	$41.33	$74.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $134.74 / $145.91 / $145.91	Facility		$134.74	$145.91	$145.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $190.59 / $190.59 / $197.08	Professional		$190.59	$190.59	$197.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Optum Facility/Professional Professional Modifier Low / Median / High Price $31.18 / $38.14 / $84.87	Professional		$31.18	$38.14	$84.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.80 / $36.85 / $50.98	Facility		$28.80	$36.85	$50.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.02 / $45.91 / $80.86	Professional		$32.02	$45.91	$80.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $31.18 / $38.14 / $84.87	Professional		$31.18	$38.14	$84.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $36.72 / $38.26	Professional		$26.71	$36.72	$38.26
United Facility/Professional Facility Modifier Low / Median / High Price $35.22 / $35.22 / $35.22	Facility		$35.22	$35.22	$35.22
United Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $35.89 / $80.11	Professional		$26.50	$35.89	$80.11