Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.80 / $32.76 / $200.25	Facility		$28.80	$32.76	$200.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $32.76 / $52.05	Professional		$26.30	$32.76	$52.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $7.50 / $31.10	Professional		$1.00	$7.50	$31.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.49 / $27.26 / $30.76	Facility		$23.49	$27.26	$30.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.49 / $31.77 / $66.73	Professional		$23.49	$31.77	$66.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $47.81 / $60.10 / $96.25	Facility		$47.81	$60.10	$96.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $24.69 / $69.98	Professional		$17.98	$24.69	$69.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.09 / $36.09 / $36.09	Facility		$36.09	$36.09	$36.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $28.57 / $28.57	Professional		$28.57	$28.57	$28.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $38.93 / $52.56	Professional		$32.50	$38.93	$52.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.78 / $37.64 / $60.73	Professional		$27.78	$37.64	$60.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.93 / $139.13 / $139.13	Facility		$100.93	$139.13	$139.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $173.27 / $201.47 / $261.75	Professional		$173.27	$201.47	$261.75
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 $27.75 / $38.08 / $52.94	Facility		$27.75	$38.08	$52.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $28.57 / $79.56	Professional		$28.57	$28.57	$79.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $94.00 / $107.22	Professional		$94.00	$94.00	$107.22
United Facility/Professional Professional Modifier Low / Median / High Price $22.15 / $31.32 / $77.78	Professional		$22.15	$31.32	$77.78