Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.02 / $38.18 / $161.63	Facility		$29.02	$38.18	$161.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.12 / $39.82 / $102.80	Professional		$28.12	$39.82	$102.80
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $41.32 / $41.32 / $41.32	Professional	25	$41.32	$41.32	$41.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.08 / $37.65 / $76.91	Professional		$34.08	$37.65	$76.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.47 / $35.36 / $39.90	Facility		$30.47	$35.36	$39.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.29 / $44.37 / $81.31	Professional		$31.29	$44.37	$81.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $31.47 / $43.59 / $99.43	Professional		$31.47	$43.59	$99.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.92 / $39.92 / $47.14	Facility		$39.92	$39.92	$47.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.93 / $47.91 / $94.29	Professional		$32.93	$47.91	$94.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $33.06 / $42.71 / $56.20	Professional		$33.06	$42.71	$56.20
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $75.72 / $75.72 / $101.52	Professional		$75.72	$75.72	$101.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.65 / $42.31 / $72.59	Professional		$29.65	$42.31	$72.59
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 $191.14 / $251.93 / $251.93	Professional		$191.14	$251.93	$251.93
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 $29.26 / $40.88 / $62.04	Facility		$29.26	$40.88	$62.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.63 / $52.58 / $97.72	Professional		$34.63	$52.58	$97.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $83.44 / $83.44 / $108.63	Professional		$83.44	$83.44	$108.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $36.72 / $52.04	Professional		$26.71	$36.72	$52.04
United Facility/Professional Facility Modifier Low / Median / High Price $45.17 / $45.17 / $45.17	Facility		$45.17	$45.17	$45.17
United Facility/Professional Professional Modifier Low / Median / High Price $32.51 / $43.80 / $98.28	Professional		$32.51	$43.80	$98.28