Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.84 / $61.13 / $75.73	Facility		$43.84	$61.13	$75.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $53.59 / $112.07	Professional		$32.00	$53.59	$112.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.37 / $55.37 / $55.37	Professional		$55.37	$55.37	$55.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.01 / $94.63 / $94.63	Facility		$88.01	$94.63	$94.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.75 / $83.18 / $193.70	Professional		$40.75	$83.18	$193.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $44.27 / $63.39 / $100.00	Professional		$44.27	$63.39	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.01 / $73.08 / $176.51	Professional		$44.01	$73.08	$176.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $45.04 / $57.88 / $86.71	Professional		$45.04	$57.88	$86.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.68 / $52.15 / $81.73	Professional		$35.68	$52.15	$81.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $181.68 / $197.89 / $197.89	Facility		$181.68	$197.89	$197.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $259.41 / $259.41 / $393.91	Professional		$259.41	$259.41	$393.91
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 $37.00 / $55.92 / $83.24	Facility		$37.00	$55.92	$83.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.86 / $78.91 / $156.88	Professional		$45.86	$78.91	$156.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $110.69 / $110.69 / $165.91	Professional		$110.69	$110.69	$165.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $40.95 / $50.05 / $77.11	Professional		$40.95	$50.05	$77.11
United Facility/Professional Facility Modifier Low / Median / High Price $68.14 / $68.14 / $68.14	Facility		$68.14	$68.14	$68.14
United Facility/Professional Professional Modifier Low / Median / High Price $49.56 / $65.84 / $205.89	Professional		$49.56	$65.84	$205.89