Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.09 / $34.28 / $39.71	Facility		$25.09	$34.28	$39.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.08 / $37.70 / $80.30	Professional		$25.08	$37.70	$80.30
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $37.21 / $37.21 / $51.58	Professional	25	$37.21	$37.21	$51.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.14 / $46.00 / $80.80	Professional		$43.14	$46.00	$80.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.21 / $30.49 / $80.29	Facility		$25.21	$30.49	$80.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $38.31 / $65.93	Professional		$27.05	$38.31	$65.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $26.69 / $36.69 / $57.35	Professional		$26.69	$36.69	$57.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.18 / $42.67 / $78.41	Professional		$29.18	$42.67	$78.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $32.58 / $39.10 / $62.06	Professional		$32.58	$39.10	$62.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $43.34 / $77.66	Professional		$30.01	$43.34	$77.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $154.38 / $167.68 / $167.68	Facility		$154.38	$167.68	$167.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $222.87 / $222.87 / $298.80	Professional		$222.87	$222.87	$298.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $68.03	Professional		$32.34	$32.34	$68.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.60 / $40.81 / $60.90	Facility		$27.60	$40.81	$60.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.16 / $45.08 / $85.21	Professional		$31.16	$45.08	$85.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $32.58 / $44.31 / $62.71	Professional		$32.58	$44.31	$62.71
United Facility/Professional Professional Modifier Low / Median / High Price $30.80 / $44.99 / $112.65	Professional		$30.80	$44.99	$112.65