Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.85 / $66.31 / $68.44	Facility		$56.85	$66.31	$68.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.47 / $62.57 / $82.03	Professional		$45.47	$62.57	$82.03
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $64.02 / $64.02 / $64.02	Professional	25	$64.02	$64.02	$64.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.54 / $86.60 / $86.60	Facility		$80.54	$86.60	$86.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.70 / $77.20 / $156.34	Professional		$56.70	$77.20	$156.34
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $127.99 / $184.28 / $184.28	Facility		$127.99	$184.28	$184.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $52.68 / $71.06 / $109.81	Professional		$52.68	$71.06	$109.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.73 / $57.73 / $90.49	Professional		$57.73	$57.73	$90.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $60.61 / $72.92 / $94.80	Professional		$60.61	$72.92	$94.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.41 / $62.70 / $101.75	Professional		$50.41	$62.70	$101.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $308.89 / $308.89 / $308.89	Facility		$308.89	$308.89	$308.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $856.96 / $856.96 / $856.96	Professional		$856.96	$856.96	$856.96
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 $50.79 / $67.29 / $88.39	Facility		$50.79	$67.29	$88.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.73 / $80.98 / $168.61	Professional		$57.73	$80.98	$168.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $207.36 / $207.36 / $216.97	Professional		$207.36	$207.36	$216.97
United Facility/Professional Professional Modifier Low / Median / High Price $51.57 / $72.38 / $214.40	Professional		$51.57	$72.38	$214.40