Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $38.02 / $251.19	Facility		$28.84	$38.02	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $51.29 / $95.50	Professional		$32.36	$51.29	$95.50
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $42.66 / $54.95 / $67.61	Professional	25	$42.66	$54.95	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $60.26 / $69.18	Professional		$51.29	$60.26	$69.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $77.62 / $194.98	Facility		$61.66	$77.62	$194.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $95.50 / $776.25	Professional		$52.48	$95.50	$776.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $208.93 / $263.03	Facility		$66.07	$208.93	$263.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $54.95 / $114.82	Professional		$44.67	$54.95	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $50.12 / $102.33	Professional		$34.67	$50.12	$102.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $53.70 / $93.33	Professional		$44.67	$53.70	$93.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $54.95 / $89.13	Professional		$38.02	$54.95	$89.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $89.13	Professional		$53.70	$53.70	$89.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $50.12 / $85.11	Facility		$33.11	$50.12	$85.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $51.29 / $100.00	Professional		$34.67	$51.29	$100.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $109.65	Professional		$83.18	$83.18	$109.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $63.10 / $81.28	Professional		$44.67	$63.10	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $165.96 / $257.04	Facility		$162.18	$165.96	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $44.67 / $100.00	Professional		$29.51	$44.67	$100.00