Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.80 / $36.51 / $242.08	Facility		$19.80	$36.51	$242.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.28 / $30.90 / $80.78	Professional		$18.28	$30.90	$80.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.25 / $36.25 / $36.25	Professional		$36.25	$36.25	$36.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.19 / $29.23 / $32.97	Facility		$25.19	$29.23	$32.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $41.75 / $74.92	Professional		$25.19	$41.75	$74.92
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $115.82 / $164.16 / $274.94	Facility		$115.82	$164.16	$274.94
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $41.42 / $89.69	Professional		$25.76	$41.42	$89.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $26.71 / $26.71	Facility		$26.71	$26.71	$26.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.52 / $34.52 / $34.52	Professional		$34.52	$34.52	$34.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.63 / $34.61 / $64.53	Professional		$21.63	$34.61	$64.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $39.63 / $71.84	Professional		$19.57	$39.63	$71.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $97.58 / $97.58	Facility		$80.00	$97.58	$97.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $136.24 / $242.72 / $319.50	Professional		$136.24	$242.72	$319.50
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 $20.59 / $36.25 / $60.59	Facility		$20.59	$36.25	$60.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.52 / $34.52 / $93.83	Professional		$34.52	$34.52	$93.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $67.55 / $67.55 / $127.66	Professional		$67.55	$67.55	$127.66
United Facility/Professional Professional Modifier Low / Median / High Price $29.75 / $39.34 / $93.09	Professional		$29.75	$39.34	$93.09