Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.16 / $27.68 / $115.64	Facility		$24.16	$27.68	$115.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $29.71 / $107.01	Professional		$23.10	$29.71	$107.01
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $138.26 / $138.26 / $138.26	Professional	25	$138.26	$138.26	$138.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $32.53 / $60.62	Professional		$24.70	$32.53	$60.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.32 / $29.38 / $33.15	Facility		$25.32	$29.38	$33.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.64 / $33.02 / $63.81	Professional		$25.64	$33.02	$63.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $24.05 / $33.36 / $79.95	Professional		$24.05	$33.36	$79.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.97 / $33.97 / $35.38	Facility		$33.97	$33.97	$35.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.36 / $39.43 / $86.21	Professional		$29.36	$39.43	$86.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $28.27 / $33.78 / $45.60	Professional		$28.27	$33.78	$45.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $33.50 / $58.98	Professional		$25.33	$33.50	$58.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $115.03 / $124.64 / $124.64	Facility		$115.03	$124.64	$124.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $158.93 / $182.79 / $182.79	Professional		$158.93	$182.79	$182.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.16 / $32.93 / $46.62	Facility		$24.16	$32.93	$46.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.81 / $47.29 / $77.27	Professional		$30.81	$47.29	$77.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $69.36 / $69.36 / $79.05	Professional		$69.36	$69.36	$79.05
United Facility/Professional Facility Modifier Low / Median / High Price $33.69 / $33.69 / $33.69	Facility		$33.69	$33.69	$33.69
United Facility/Professional Professional Modifier Low / Median / High Price $24.08 / $32.54 / $77.55	Professional		$24.08	$32.54	$77.55