Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.95 / $44.87 / $56.57	Facility		$32.95	$44.87	$56.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.23 / $39.59 / $58.33	Professional		$24.23	$39.59	$58.33
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $85.57 / $85.57 / $85.57	Professional	25	$85.57	$85.57	$85.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.57 / $51.77 / $62.36	Professional		$40.57	$51.77	$62.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.12 / $71.09 / $71.09	Facility		$66.12	$71.09	$71.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $63.87 / $141.01	Professional		$29.60	$63.87	$141.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $33.26 / $50.27 / $79.58	Professional		$33.26	$50.27	$79.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.21 / $55.56 / $130.22	Professional		$33.21	$55.56	$130.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $38.99 / $51.94 / $79.68	Professional		$38.99	$51.94	$79.68
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $57.95 / $57.95 / $57.95	Professional		$57.95	$57.95	$57.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.78 / $49.75 / $79.73	Professional		$37.78	$49.75	$79.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $193.75 / $209.24 / $209.24	Facility		$193.75	$209.24	$209.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $254.57 / $266.08 / $321.17	Professional		$254.57	$266.08	$321.17
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 $51.47 / $55.48 / $70.78	Professional		$51.47	$55.48	$70.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.28 / $51.06 / $69.54	Facility		$28.28	$51.06	$69.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.97 / $60.18 / $115.91	Professional		$34.97	$60.18	$115.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $52.01 / $57.01 / $83.44	Professional		$52.01	$57.01	$83.44
United Facility/Professional Facility Modifier Low / Median / High Price $63.17 / $63.17 / $63.17	Facility		$63.17	$63.17	$63.17
United Facility/Professional Professional Modifier Low / Median / High Price $37.24 / $55.52 / $178.02	Professional		$37.24	$55.52	$178.02